Individual
JONATHAN MEDINA BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
51 HARRINGTON DR S, TOMS RIVER, NJ 08757-4008
(732) 618-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00441600
NJ
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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