Individual
BORAM JI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061
(410) 787-4000
Mailing address
7965 BRIGHTLIGHT PL, ELLICOTT CITY, MD 21043-7959
(443) 812-6463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P31325
MD
2080P0206X
Pediatric Gastroenterology Physician
Primary
U3252
TX
Other
Enumeration date
05/05/2015
Last updated
06/14/2024
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