Individual
DR. GREGORY BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 389-5268
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(419) 866-1804
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35031085
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0532123
—
OH
Enumeration date
02/17/2006
Last updated
11/15/2007
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