Organization
BORG IMAGING GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B WOPPERER M.D. (MANAGING PARTNER)
(585) 271-0401
Entity
Organization
Contact information
Practice address
400 RED CREEK DR STE 140, ROCHESTER, NY 14623-4273
(585) 271-0401
(585) 271-2051
Mailing address
125 LATTIMORE RD, ROCHESTER, NY 14620-4159
(585) 271-0401
(585) 271-2051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00848715
—
NY
01
—
P0180349590
BLUE CHOICE
NY
Enumeration date
03/19/2007
Last updated
08/22/2020
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