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Individual

BRIAN BORNTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3510 BRENBROOK DR, RANDALLSTOWN, MD 21133-4902
(410) 837-2050
Mailing address
3510 BRENBROOK DR, RANDALLSTOWN, MD 21133-4902

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206185
MD

Other

Enumeration date
10/06/2023
Last updated
11/20/2023
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