Individual
VICKI BORUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 BLAIR MILL RD, SUITE 8, WILLOW GROVE, PA 19090-1041
(215) 957-9250
(215) 957-9254
Mailing address
2701 BLAIR MILL RD, SUITE 8, WILLOW GROVE, PA 19090-1041
(215) 957-9250
(215) 957-9254
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000872-L
PA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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