Provider Demographics
NPI:1497385413
Name:SARATOGA GENERAL SURGICAL SERVICES PC
Entity Type:Organization
Organization Name:SARATOGA GENERAL SURGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:FLETCHER
Authorized Official - Last Name:STARNES JR.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-430-2020
Mailing Address - Street 1:381 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8640
Mailing Address - Country:US
Mailing Address - Phone:518-430-2020
Mailing Address - Fax:
Practice Address - Street 1:381 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8640
Practice Address - Country:US
Practice Address - Phone:518-430-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty