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Individual

DR. BRIAN P. BORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4900 WYALUSING AVE, PHILADELPHIA, PA 19131-5127
(215) 474-7033
(215) 878-9199
Mailing address
200 N WYNNEWOOD AVE, APT. A406, WYNNEWOOD, PA 19096-1433
(215) 473-7033
(215) 878-9199

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD426942
PA

Other

Enumeration date
09/20/2006
Last updated
02/13/2013
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