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Individual

SAMUEL BOROFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1074
(423) 826-1290
Mailing address
110 SIBLEY AVE, APT 405, ARDMORE, PA 19003-2312
(248) 318-8887

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD042081
DC
2085R0202X
Diagnostic Radiology Physician
Primary
MD456896
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT199892
PA

Other

Enumeration date
06/21/2011
Last updated
07/21/2022
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