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Individual

ELLIOT HOWARD BORAK

Active
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Individual

ELLIOT HOWARD BORAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00007758
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932925
AL
01
051517337
BCBS
AL
01
2910053
UNITED HEALTHCARE
AL
Enumeration date
07/13/2005
Last updated
11/07/2011
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