Individual
DR. BASSAM M.A. EL-BORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 N POINTE BLVD, SUITE 204, LANCASTER, PA 17601-4134
(717) 560-5600
(717) 560-5955
Mailing address
1051 BLUESTONE DR, LITITZ, PA 17543-6900
(717) 560-9811
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD042960E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001263220
—
PA
Enumeration date
10/01/2006
Last updated
05/20/2015
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