Individual
KATHLEEN M BOREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 OVERLOOK ROAD, SUITE B110, SUMMIT, NJ 07901-3577
(908) 522-2709
Mailing address
158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
(212) 563-2497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26NJ0000080
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00000800
NJ
Other
Enumeration date
01/13/2006
Last updated
11/17/2008
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