Organization
CARLOS P. BORROMEO, JR., M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS P. BORROMEO JR. M.D. (MEDICAL DIRECTOR)
(856) 663-3725
Entity
Organization
Contact information
Practice address
5052 WESTFIELD AVE, PENNSAUKEN, NJ 08110-2818
(856) 663-3725
(856) 663-1550
Mailing address
5052 WESTFIELD AVE, PENNSAUKEN, NJ 08110-2818
(856) 663-3725
(856) 663-1550
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA02665200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079604001
AMERIHEALTH
—
05
—
6329403
—
NJ
Enumeration date
04/02/2008
Last updated
04/20/2008
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