Individual
MS. MANJULA PRAKASH BORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 RIVERSIDE DR STE A204, SALISBURY, MD 21801-4704
(443) 358-6193
(443) 358-6197
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D006257
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D66257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
10/20/2006
Last updated
05/21/2019
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