Paul, Boris

Paul, Boris is an sole proprietor health care provider with primary practice located at 505 Independence Rd Ste E, East Stroudsburg PA 18301-7916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Paul, Boris can be contacted via phone (570) 421-5997.

Contact Information

Primary practice address
505 Independence Rd Ste E East Stroudsburg PA 18301-7916
Phone: (570) 421-5997
Fax: (570) 421-7635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD028193E Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 138069-1 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 121565 Florida

Profile Details

NPI number 1164420816
LBN Legal business name Paul, Boris
Credentials M.D.,F.A.C.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 9th, 2015 - about 9 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 1164420816 NPPES
Pennsylvania MEDICAID 001152624007

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