Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 34.013532 | OH |
NPI | 1093107617 |
---|---|
Provider Name | Dr. Jenna Borys |
First Address | Columbus, OH 43215-4701 |
Second Address | Columbus, OH 43228-1607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2015 |
Last Update Date | 29/07/2020 |