Individual
MR. BARRY LAWRENCE BORDONARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4336 NORTH BLVD, SUITE 103, BATON ROUGE, LA 70806-3920
(225) 379-3519
(225) 379-3522
Mailing address
4336 NORTH BLVD, SUITE 103, BATON ROUGE, LA 70806-3920
(225) 379-3519
(225) 379-3522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.018171
LA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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