Individual
DR. JEFFREY JAY BORODKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2820 W MARKET ST, SUITE 140, FAIRLAWN, OH 44333-4043
(330) 253-2436
(330) 253-2437
Mailing address
2820 W MARKET ST, SUITE 140, FAIRLAWN, OH 44333-4043
(330) 253-2436
(330) 253-2437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720483
—
OH
Enumeration date
10/20/2005
Last updated
05/23/2014
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