Individual
JOHN BORDIUK
Active
Individual
JOHN BORDIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406799
UNITED HEALTH CARE
MA
01
—
5424600
AETNA
MA
01
—
692543
HARVARD PILGRIM
MA
01
—
792774
TUFTS HEALTH PLAN
MA
01
—
7998387
CIGNA
MA
01
—
J16668
BCBS
MA
01
—
M21670
MEDICARE PROVIDER GROUP
MA
Enumeration date
08/29/2006
Last updated
02/22/2013
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