Provider Demographics
NPI:1437319241
Name:SHERBURNE, ALAN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHARLES
Last Name:SHERBURNE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:AUBURN MEMORIAL MEDICAL SERVICES, PC
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-567-0455
Mailing Address - Fax:315-255-7382
Practice Address - Street 1:77 NELSON STREET, SUITE #220
Practice Address - Street 2:D/B/A SURGICAL SERVICES OF AUBURN
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1983
Practice Address - Country:US
Practice Address - Phone:315-253-1832
Practice Address - Fax:315-702-8393
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2015-05-18
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Provider Licenses
StateLicense IDTaxonomies
NY278778208600000X
MA246577208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery