Organization
BORAN & PUZZI EAR, NOSE & THROAT ASSOCIATES, PC
Active
Organization
BORAN & PUZZI EAR, NOSE & THROAT ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BORAN SR. MD (PARTNER)
(570) 621-5010
Entity
Organization
Contact information
Practice address
100 SCHUYLKILL MEDICAL PLZ, SUITE 205, POTTSVILLE, PA 17901-3663
(570) 621-5010
(570) 628-2525
Mailing address
100 SCHUYLKILL MEDICAL PLZ, SUITE 205, POTTSVILLE, PA 17901-3663
(570) 621-5010
(570) 628-2525
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD030208E
PA
231H00000X
Audiologist
AT0008696L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1332083
HIGHMARK BS
—
01
—
CG9280
TRAVELERS MEDICARE
PA
Enumeration date
01/26/2006
Last updated
08/26/2009
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