Bordiuk, Gregory William

Bordiuk, Gregory William is an sole proprietor health care provider with primary practice located at 1000 Broadway , West Long Branch NJ 07764-1308. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bordiuk, Gregory William can be contacted via phone (732) 571-1366.

Contact Information

Primary practice address
1000 Broadway West Long Branch NJ 07764-1308
Phone: (732) 571-1366
Fax: (732) 571-1366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00147700 New Jersey

Profile Details

NPI number 1679631659
LBN Legal business name Bordiuk, Gregory William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679631659 NPPES
New Jersey MEDICAID 1434004

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