Individual
CHARLES S BORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-3081
Mailing address
750 N BROAD ST APT 5B, ELIZABETH, NJ 07208-2424
(347) 346-1156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00604700
NJ
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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