Individual
VICTOR DANIEL BORKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-1881
(732) 367-2462
Mailing address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-1881
(732) 367-2462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00411700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0979201-01
—
NJ
Enumeration date
05/22/2006
Last updated
03/20/2012
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