Dr Jeffrey R Boris, MD | |
501 Glenwood Ave, Media, PA 19063-4127 | |
(610) 608-7235 | |
Not Available |
Full Name | Dr Jeffrey R Boris |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 501 Glenwood Ave, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467458463 | NPI | - | NPPES |
89137N5 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 2024027924 (Missouri) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | MD050676L (Pennsylvania) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
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Dr Jeffrey R Boris, MD Po Box 16, Moylan, PA 19065-0016 Ph: (610) 608-7235 | Dr Jeffrey R Boris, MD 501 Glenwood Ave, Media, PA 19063-4127 Ph: (610) 608-7235 |
Ms. Jacquelyn H Gibbons, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Granite Dr, Suite 200, Media, PA 19063 Phone: 610-565-1945 Fax: 610-892-7848 | |
Dr. Michael B Torrence, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 N Providence Rd, Suite 301, Media, PA 19063 Phone: 610-565-9435 Fax: 610-892-0823 | |
Regina M Vince, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Health Center 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Megan Elizabeth Speare, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Health Center 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Vara Rao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Russel C Applegate, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Hlth Ctr 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Dr. Alison Gaudet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Granite Dr, Suite 200, Media, PA 19063 Phone: 610-565-1945 Fax: 610-892-7848 |