Individual
MAX BORGELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(973) 330-1431
Mailing address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(973) 330-1431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
403082
NY
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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