Individual
DONATO J BORRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 JOHNNIE DODDS BLVD STE 102, MOUNT PLEASANT, SC 29464-3082
(843) 936-6451
(843) 936-6451
Mailing address
11100 AIRPORT HWY, SWANTON, OH 43558-9374
(419) 466-5512
(419) 710-7035
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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