Individual
JEFFERY DAVID BORUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
24720000X
Contact information
Practice address
5614 DOUGHBOY LOOP, JB MDL, NJ 08640-5429
(609) 724-0008
(609) 724-0232
Mailing address
5614 DOUGHBOY LOOP, JB MDL, NJ 08640-5429
(609) 724-0008
(609) 724-0232
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
09/11/2019
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