Individual
DR. PRABHAKAR DAYANAND BORGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3401 N BROAD ST, 2ND FLOOR, OPB, PHILADELPHIA, PA 19140-5103
(215) 707-3481
(215) 707-2053
Mailing address
3401 N BROAD ST, 2ND FLOOR, OPB, PHILADELPHIA, PA 19140-5103
(215) 707-3481
(215) 707-2053
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT184470
PA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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