Organization
NASSER E BORAI MD LLC
Active
Other names
NASSER E. BORAI, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER E BORAI MD (OWNER)
(609) 404-9966
Entity
Organization
Contact information
Practice address
54 W JIMMIE LEEDS RD, SUITES 11 & 12, GALLOWAY, NJ 08205-9401
(609) 404-9966
(609) 404-9967
Mailing address
54 W JIMMIE LEEDS RD, SUITES 11 & 12, GALLOWAY, NJ 08205-9401
(609) 404-9966
(609) 404-9967
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA05533500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5178380001
HEALTHNOW NY/DMERC A
—
05
—
6552200
—
NJ
01
—
830007154
PALMETTO GBA/RR MEDICARE
—
Enumeration date
11/09/2007
Last updated
02/19/2013
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