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Individual

TIMOTHY J BORELLI

Active
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Individual

TIMOTHY J BORELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008
ME
207RI0200X
Infectious Disease Physician
Primary
2008
ME
208M00000X
Hospitalist Physician
2008
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30226140
NH
05
432720299
ME
Enumeration date
11/21/2006
Last updated
10/16/2012
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