Boris, Jeffrey R

Boris, Jeffrey R is an sole proprietor health care provider with primary practice located at 501 Glenwood Ave , Media PA 19063-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Boris, Jeffrey R can be contacted via phone (610) 608-7235.

Contact Information

Primary practice address
501 Glenwood Ave Media PA 19063-4127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD050676L Pennsylvania

Profile Details

NPI number 1467458463
LBN Legal business name Boris, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Aug 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467458463 NPPES
North Carolina MEDICAID 89137N5

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