Individual
DR. MIRIAM A BORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PSYCHIATRIST
Contact information
Practice address
65 MOUNTAIN BLVD, SUITE 211, WARREN, NJ 07059-5678
(732) 356-5665
(732) 356-0507
Mailing address
65 MOUNTAIN BLVD, SUITE 211, WARREN, NJ 07059-5678
(732) 356-5665
(732) 356-0507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA04269900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521140
MEDICARE ID
NJ
Enumeration date
09/15/2006
Last updated
06/12/2009
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