person
Timothy Gerard Board, PA
Surgical Physician Assistant in Saratoga Springs, New York
NPI 1699796078

Timothy Gerard Board is a Surgical Physician Assistant based in Saratoga Springs, NY and is specialized in Surgical. Timothy Gerard Board practices in Saratoga Springs, NY and has the professional credentials of PA. The NPI Number for Timothy Gerard Board is 1699796078 and holds a License No. 004631 (New York).

The current practice location address for Timothy Gerard Board is 454 Maple Ave, Saratoga Springs, NY and can be reached out via phone at 518-587-1141 and via fax at 518-587-1152.

Location: 454 Maple Ave, Saratoga Springs, NY, 12866-1003
person
Provider Profile Details
NPI Number
1699796078
Provider Name
Timothy Gerard Board
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
454 Maple Ave, Saratoga Springs, NY, 12866-1003
Phone Number
518-587-1141
Fax Number
518-587-1152
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
709221 01 NY MVP
970016493 01 NY RAILROAD MEDICARE
000405957003 01 NY BLUE SHIELD
050510000097 01 NY FIDELIS CARE
institution
Provider Business Practice Location Address Details
Address
454 Maple Ave
City
State
Zip
12866-5532
Phone Number
518-587-1141
Fax Number
518-587-1152
person
Provider Business Mailing Address Details
Address
454 Maple Ave
City
State
Zip
12866-5532
Phone Number
518-587-1141
Fax Number
518-587-1152
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
004631 (New York)
Definition
Definition to come...
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