Individual
MR. JONATHAN CHARLES BORASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE S 640, MARRERO, LA 70072-3151
(504) 349-6460
(504) 349-6463
Mailing address
1111 MEDICAL CENTER BLVD, STE S 640, MARRERO, LA 70072-3151
(504) 349-6460
(504) 349-6463
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.019995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382221
—
LA
Enumeration date
08/09/2005
Last updated
05/11/2010
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