Provider Demographics
NPI:1669423836
Name:BORISON, DANIEL I (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:I
Last Name:BORISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23214 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1565
Mailing Address - Country:US
Mailing Address - Phone:216-356-6550
Mailing Address - Fax:216-356-6552
Practice Address - Street 1:12301 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3744
Practice Address - Country:US
Practice Address - Phone:216-356-6550
Practice Address - Fax:440-582-3617
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35057425B208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBO4043361Medicare PIN
OHF26805Medicare UPIN