Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA10293400 | NJ |
NPI | 1255699302 |
---|---|
Provider Name | Robert Borzio |
First Address | Red Bank, NJ 07701-5727 |
Second Address | Red Bank, NJ 07701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 15/09/2020 |