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Individual

MICHAEL BORJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2117 SIMONTON RD, SUITE 402, STATESVILLE, NC 28625-8206
(704) 871-2323
(803) 619-2149
Mailing address
2117 SIMONTON RD, SUITE 402, STATESVILLE, NC 28625-8206
(704) 871-2323
(803) 619-2149

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
208000000X
Pediatrics Physician
Primary
9601146
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1002P
BCBS OF NC
NC
01
3217120
AETNA HMO
NC
01
7904102
AETNA PPO
NC
05
891002P
NC
Enumeration date
08/25/2006
Last updated
05/30/2013
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