Individual
DR. NICHOLAS NICHOLSON BORODULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 COASTAL HWY, FENWICK ISLAND, DE 19944-4452
(302) 581-0458
(302) 581-0460
Mailing address
12036 S PINEY POINT RD, BISHOPVILLE, MD 21813-1542
(302) 581-0458
(302) 581-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C10001802
DE
207Q00000X
Family Medicine Physician
Primary
D0028769
MD
Other
Enumeration date
02/28/2006
Last updated
05/11/2022
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