Individual
DR. BORIS BORODULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 TICES LN BLDG A, STE 205, EAST BRUNSWICK, NJ 08816-1345
(732) 247-1040
(732) 247-1041
Mailing address
180 TICES LN BLDG A, STE 205, EAST BRUNSWICK, NJ 08816-1345
(732) 247-1040
(732) 247-1041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA62423
NJ
Other
Enumeration date
12/18/2006
Last updated
05/25/2025
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