Individual
MISS ALEXANDRA BORAKOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0626
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 550-5018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06273
MD
Other
Enumeration date
08/09/2016
Last updated
12/27/2018
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