NPI | 1912335373 |
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Doing Business As | BOTSFORD THORACIC SURGERY CLINIC |
Entity Type | Organization |
Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2019-08-21 |