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Individual

JODY BORGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5501 OLD YORK RD, KLEIN, 363, PHILADELPHIA, PA 19141-3018
(215) 456-6948
(215) 455-1933
Mailing address
5501 OLD YORK RD, KLEIN, 363, PHILADELPHIA, PA 19141-3018
(215) 456-6948
(215) 455-1933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD045369L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012820200002
PA
Enumeration date
03/08/2006
Last updated
02/20/2015
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