Wellformed AI

NPI 1679501449 · live from the CMS NPI Registry

Joseph Spencer Bordelon, M.D.

Anesthesiology in Glens Falls, NY. National Provider Identifier 1679501449, active.

NPI record

NPI1679501449 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location100 Park St, Anesthesia Department, Glens Falls, NY 12801
Practice phone518-926-5127
Mailing addressPo Box 1357, Anesthesiologists Of Glens Falls, Williston, VT 05495
EnumeratedJune 29, 2006
Last updatedNovember 7, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology primary207L00000X000235452 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.