Individual
DR. LAWRENCE S BOROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 MONTGOMERY AVE, STE 200, BALA CYNWYD, PA 19004-2956
(610) 668-1170
(610) 668-7922
Mailing address
146 MONTGOMERY AVE, STE 200, BALA CYNWYD, PA 19004-2956
(610) 668-1170
(610) 668-7922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD012802E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045404000
KEYSTONE HEALTH PLAN EAST
PA
01
—
158729
BLUE SHIELD OF PA.
PA
01
—
32005
AETNA HEALTH INSURANCE
PA
01
—
MD012802E
PA MEDICAL LICENSE
PA
Enumeration date
06/20/2005
Last updated
03/07/2023
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