Individual
FREDERICK T BORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 JEFFERSON AVE, SUITE 109, SHARON, PA 16146-3354
(714) 981-6732
Mailing address
903 ROBBINS AVENUE, NILES, OH 44446
(330) 505-1225
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G68310
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD-031970E
PA
2085R0202X
Diagnostic Radiology Physician
MD6646
HI
Other
Enumeration date
08/31/2006
Last updated
02/10/2012
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