Individual
MOISES MORRIS BORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60415
MA
208000000X
Pediatrics Physician
Primary
ME33183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013208900
—
FL
05
—
3038076
—
MA
01
—
AA3905
HARVARD PILGRIM HEALTH CA
MA
01
—
J07683
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
10/28/2014
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