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Individual
GERALD SCOTT BORRELLI
Active
Individual
GERALD SCOTT BORRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD31245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158711
BLUE CROSS
TN
05
—
3843024
—
TN
01
—
390007330
RAILROAD MEDICARE
TN
01
—
4405986
AETNA US HEALTHCARE
TN
01
—
602002329
CARITEN HEALTHCARE
TN
Enumeration date
06/22/2005
Last updated
07/14/2010
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