Provider Demographics
NPI:1225007743
Name:ALLAN N BORUSZAK M D LIMITED
Entity Type:Organization
Organization Name:ALLAN N BORUSZAK M D LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:BORUSZAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-349-6688
Mailing Address - Street 1:121 RIVERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2611
Mailing Address - Country:US
Mailing Address - Phone:828-349-6688
Mailing Address - Fax:828-349-6680
Practice Address - Street 1:121 RIVERVIEW ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2611
Practice Address - Country:US
Practice Address - Phone:828-349-6688
Practice Address - Fax:828-349-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty