Individual
DR. JASON A BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203
(716) 691-8838
(716) 564-1134
Mailing address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
225045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026089302
UNIVERA
NY
01
—
000526825005
BLUE CROSS BLUE SHIELD
NY
05
—
02345242
—
NY
01
—
3911480
INDEPENDENT HEALTH
NY
01
—
41023000011
FIDELIS
NY
01
—
P00029174
RAILROAD MEDICARE
NY
Enumeration date
06/30/2006
Last updated
03/19/2014
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