Pocono Surgical Associates

LBN: Pocono Surgical Associates
Pocono Surgical Associates is an health care organization with primary practice located at 391 E Brown St , East Stroudsburg PA 18301-9101. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pocono Surgical Associates can be contacted via phone (570) 421-5997, or through Paul, Boris via phone (570) 421-5997.

Contact Information

Primary practice address
391 E Brown St East Stroudsburg PA 18301-9101
Phone: (570) 421-5997
Fax: (570) 421-7635
Website:
Map and Directions
Authorized official contact:
Name: Paul, Boris Doctor of Medicine (MD)
Phone: (570) 421-5997

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD028193E Pennsylvania

Profile Details

NPI number 1245311067
LBN Legal business name Pocono Surgical Associates
DBA Doing business as
Authorized official Paul, Boris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245311067 NPPES
Pennsylvania MEDICAID 0011526240007

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