Roger Borchardt, Md, Llc

NPI 1114237351 - Internal Medicine - 207RI0011X

NPI Details
NPI 1114237351
Enumeration Date 10/20/2010
Last Updated 10/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROGER ROGER
Position PRESIDENT
Phone (201) 679-2470
Fax (201) 300-4384
Practice Location
88 BROWNSTONE WAY
#107
ENGLEWOOD NJ, 07631-1201, US
Phone (201) 679-2470
Fax (201) 300-4384
Business Location
PO BOX 648
ENGLEWOOD NJ, 07631-0648, US
Phone (201) 679-2470
Fax (201) 300-4384
Toxanomy
Taxonomy Code 207RI0011X
License State New Jersey
License Number 25MA08749100
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According to our database, Roger Borchardt, Md, Llc NPI is 1114237351, taxonomy code is 207RI0011X and license number is 25MA08749100, license state is located at New Jersey. Roger Borchardt, Md, Llc physically located at 88 Brownstone Way, Englewood NJ, 07631-1201. NPI Number 1033115704 has the healthcare provider type.

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1114237351 NPI number is provided on an as is basis without warranty of any kind. 1114237351 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Borchardt, Md, Llc are for informational purposes only.