Individual
DR. ALAN J BORISLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5501 OLD YORK RD, ALBERT EINSTEIN MED. CTR., PALEY 2, PHILADELPHIA, PA 19141-3018
(215) 456-7104
(215) 456-3482
Mailing address
5501 OLD YORK RD, ALBERT EINSTEIN MED. CTR., PALEY 2, PHILADELPHIA, PA 19141-3018
(215) 456-7104
(215) 456-3482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS014759L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00930420
—
PA
01
—
101254
UNITED CONCORDIA
PA
01
—
148662
BLUE SHIELD
PA
Enumeration date
10/12/2006
Last updated
07/09/2007
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