Individual
GARY E BORODIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1261 FURNACE BROOK PKWY, SUITE 15, QUINCY, MA 02169-4721
(617) 770-0011
(617) 770-0030
Mailing address
1261 FURNACE BROOK PKWY, SUITE 15, QUINCY, MA 02169-4721
(617) 770-0011
(617) 770-0030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
51271
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6171249
—
MA
Enumeration date
09/08/2005
Last updated
05/12/2016
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