Individual
DR. JOSEPH BORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH238304
Contact information
Practice address
127 EASTERN AVE # 135, GLOUCESTER, MA 01930-1802
(978) 281-2720
Mailing address
6 EDGEWOOD RD, GLOUCESTER, MA 01930-3330
(978) 290-3101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH238304
PHARMACY LICENSE
MA
Enumeration date
08/19/2018
Last updated
08/19/2018
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