Individual
RYAN BOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF OTOLARYNGOLOGY, PHILADELPHIA, PA 19104
(215) 590-1582
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF OTOLARYNGOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1582
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
61521
MN
207Y00000X
Otolaryngology Physician
Primary
MD455969
PA
207Y00000X
Otolaryngology Physician
MT201622
PA
Other
Enumeration date
05/16/2012
Last updated
05/21/2020
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