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Individual
MICHAEL JUDE BORNE
Active
Individual
MICHAEL JUDE BORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
12475
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
12475
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114935
—
MS
01
—
180021390
RAILROAD MEDICARE
MS
Enumeration date
10/04/2006
Last updated
04/14/2017
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