Individual
AGNIESZKA BORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21264-1110
(410) 955-5080
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D91242
MD
2085R0202X
Diagnostic Radiology Physician
ME167738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123215800
—
FL
05
—
207674801
—
MD
01
—
TC738
MEDICARE HF
FL
Enumeration date
04/03/2019
Last updated
09/24/2024
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