Individual
DR. CLINTON JAMES BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 VANDENBERG DR, HANSCOM AFB, MA 01731-2104
(812) 255-6304
Mailing address
90 VANDENBERG DR, HANSCOM AFB, MA 01731-2104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28453
NE
Other
Enumeration date
06/26/2013
Last updated
11/06/2023
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