| Carlos P. Borromeo, Jr., M.d., Pa | |
|
5052 Westfield Ave Pennsauken NJ 08110-2818 | |
| (856) 663-3725 | |
| (856) 663-1550 |
| Full Name | Carlos P. Borromeo, Jr., M.d., Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5052 Westfield Ave, Pennsauken, New Jersey |
| Authorized Official Name and Position | Carlos P. Borromeo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8566633725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos P. Borromeo, Jr., M.d., Pa 5052 Westfield Ave Pennsauken NJ 08110-2818 Ph: (856) 663-3725 | Carlos P. Borromeo, Jr., M.d., Pa 5052 Westfield Ave Pennsauken NJ 08110-2818 Ph: (856) 663-3725 |
| NPI Number | 1609049345 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609049345 | NPI | - | NPPES |
| 0079604001 | Other | AMERIHEALTH | |
| 6329403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA02665200 (New Jersey) | Primary |
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