Mr Persival Faustino Borlongan, PT is a
Physical Therapist based in Fort Dix, New Jersey. Mr Persival Faustino Borlongan is licensed to practice in New Jersey (license number PT QA0006833) and his current practice location is
5250 Maryland Ave, Src (rear Of Walson), Fort Dix, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 562-6487.
NPI number for Mr Persival Faustino Borlongan is 1255303285 and his current mailing address is 10 Phoenix Ct, Jackson, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255303285.
Healthcare Provider's Profile
Full Name | Mr Persival Faustino Borlongan |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 5250 Maryland Ave, Fort Dix, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255303285
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Persival Faustino Borlongan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255303285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT QA0006833 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Persival Faustino Borlongan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Persival Faustino Borlongan, PT 10 Phoenix Ct, Jackson, NJ 08527-1384 Ph: (732) 367-3287 | Mr Persival Faustino Borlongan, PT 5250 Maryland Ave, Src (rear Of Walson), Fort Dix, NJ 08640-5058 Ph: (609) 562-6487 |
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