Dr. Dennis Lawrence Bordan, M.D., F.A.C.S.
Surgery in Newark, NJ. Individual provider (NPI-1).
NPI number1164487559
StatusActive
Last updated in NPPESJun 17, 2014
Details
- NPI
- 1164487559
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dennis Lawrence Bordan
- Credential
- M.D., F.A.C.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2006
- Last updated
- Jun 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 25MA07856500 | NJ | Yes |
Practice location
201 Lyons AveNewark, NJ 07112-2027
Phone 973-926-7330 · Fax 973-923-8757
Mailing address
201 Lyons AveNewark, NJ 07112-2027
Phone 973-926-7330 · Fax 973-923-8757
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