Individual
TINA BORDONARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 N SHENANDOAH AVE STE 101, FRONT ROYAL, VA 22630
(540) 551-5564
(703) 642-1876
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0005787
MD
Other
Enumeration date
09/28/2015
Last updated
05/31/2018
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