MEDICARE: SARATOGA GENERAL SURGICAL SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1497385413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA GENERAL SURGICAL SERVICES PC

Provider Business Mailing Address
First Line	:	381 CHURCH ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8640
Country	:	US
Telephone Number	:	518-430-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 CHURCH ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8640
Country	:	US
Telephone Number	:	518-430-2020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAL FLETCHER STARNES JR.
Credential	:	MD
Telephone Number	:	518-430-2020

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	03/25/2020

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