Individual
AMANDA BORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7794
(732) 235-7238
Mailing address
144 ELIZABETH AVE, ISELIN, NJ 08830-2260
(732) 283-1750
(732) 235-7238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MAO8181600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176079
—
NJ
Enumeration date
05/09/2008
Last updated
11/19/2008
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