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Individual

DR. GERALD M. BORDIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9533
(858) 784-5933
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
(858) 784-5906
(858) 784-5933

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C29450
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C294500
CA
Enumeration date
02/17/2006
Last updated
07/09/2007
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