Organization
BORACCHIA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J BORACCHIA (CEO)
(707) 765-3100
Entity
Organization
Contact information
Practice address
3920 CYPRESS DR, PETALUMA, CA 94954-5694
(707) 765-3100
(707) 776-2682
Mailing address
3920 CYPRESS DR, PETALUMA, CA 94954-5694
(707) 765-3100
(707) 776-2682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SRJH27710545
CA
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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