Individual
BRECK BORCHERDING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Mailing address
170 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
D0034297
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239124
MAMSI
MD
01
—
439124
MAMSI
MD
Enumeration date
05/31/2005
Last updated
07/08/2007
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