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Individual

MR. JOHN G BORTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
811 NORTH BROADWAY, WHITE PLAINS, NY 10603
(914) 686-0006
(914) 686-2660
Mailing address
811 NORTH BROADWAY, WHITE PLAINS, NY 10603
(914) 686-0006
(914) 686-2660

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
146082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108602
NY
Enumeration date
05/13/2006
Last updated
08/01/2008
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