Individual
HENRY BORRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
309 ROCK AVE, GREEN BROOK, NJ 08812-2616
(732) 968-3900
(732) 968-3944
Mailing address
366 UPPER MOUNTAIN AVE, UPPER MONTCLAIR, NJ 07043-1436
(732) 968-3900
(732) 968-3944
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00227300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7451008
—
NJ
Enumeration date
07/07/2006
Last updated
07/08/2007
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