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NPI Code Detail

MEDICARE: DANIEL I BORISON M.D

MEDICARE: DANIEL I BORISON M.D
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
1208600000XSurgery Physician35057425BOH

General Provider Information

NPI Number : 1669423836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL I BORISON M.D
Provider Business Mailing Address
First Line : 23214 RANCH RD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-1565
Country : US
Telephone Number : 216-356-6550
Fax Number : 216-356-6552
Provider Business Practice Location Address
First Line : 12301 RIDGE RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3744
Country : US
Telephone Number : 216-356-6550
Fax Number : 440-582-3617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 05/20/2025

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