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Individual

MARGARET ANNE BORTKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
609 DAFFIN LN, DENTON, MD 21629-1392
(410) 479-2650
(410) 479-1626
Mailing address
301 RANDOLPH ST, DENTON, MD 21629-1243
(410) 479-4306
(410) 479-1714

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
976
AK
363LF0000X
Family Nurse Practitioner
Primary
R205379
MD
363LF0000X
Family Nurse Practitioner
RN014969
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0435669
MT
Enumeration date
09/13/2006
Last updated
05/01/2013
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