Individual
DONATO J BORRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40559
SC
2083A0100X
Aerospace Medicine Physician
Primary
35062153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212144
ANTHEM COMMERICAL
OH
01
—
0847454
MI MEDICAID
MI
05
—
0847454
—
OH
01
—
840000277
OHIO RAILROAD MEDICARE
OH
Enumeration date
06/24/2005
Last updated
07/23/2019
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