Individual
JULIA BORNIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8000
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101234591
VA
207R00000X
Internal Medicine Physician
Primary
D60112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00856601
RAILROAD MEDICARE
DC
Enumeration date
09/15/2006
Last updated
08/16/2016
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