Individual
TIFFANY ELIZABETH BORSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
82 FALES RD, BRISTOL, RI 02809-1608
(413) 374-1790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4905
MA
Other
Enumeration date
06/19/2012
Last updated
04/06/2018
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