Individual
TIMOTHY J BORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-4110
(207) 622-6078
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-4110
(207) 622-6078
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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