Individual
GREGORY BORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106
(505) 272-8229
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MA58948
NJ
208600000X
Surgery Physician
Primary
MD2018-0517
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5354501
—
NJ
Enumeration date
11/07/2006
Last updated
01/15/2025
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