Active NPIIndividual providerSole proprietor

Dr. Dennis L Bordan, MD, FACS

Surgery in Newark, New Jersey

NPI Number1164487559
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
973-923-8757
Last updated
June 17, 2014

Dennis Lawrence Bordan is a Surgery based in Newark, NJ. Dennis Lawrence Bordan practices in Newark, NJ and has the professional credentials of MD, FACS. The NPI Number for Dennis Lawrence Bordan is 1164487559 and holds a License No. 25MA07856500 (NJ). The current practice location address for Dennis Lawrence Bordan is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7330 and via fax at 973-923-8757.

Provider Profile Details

NPI Number
1164487559
Provider Name
Dennis Lawrence Bordan
Credential
MD, FACS
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7330
Fax Number
973-923-8757
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2006
Last Update Date
June 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7330
Fax Number
973-923-8757
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027
Phone Number
973-926-7330
Fax Number
973-923-8757

License Information

License Number
25MA07856500
License State
NJ
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dennis L Bordan, MD, FACS?

The NPI number of Dr. Dennis L Bordan, MD, FACS is 1164487559. It was assigned on April 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dennis L Bordan, MD, FACS?

Dr. Dennis L Bordan, MD, FACS is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA07856500.

Where does Dr. Dennis L Bordan, MD, FACS practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7330 (phone) or 973-923-8757 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164487559 directly on the NPPES registry website.

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