Borodyansky, Laura

Borodyansky, Laura is an individual health care provider with primary practice located at 45 Longwood Ave #602, Brookline MA 02446-5244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Borodyansky, Laura can be contacted via phone (617) 840-7740.

Contact Information

Primary practice address
45 Longwood Ave #602 Brookline MA 02446-5244
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 237697 Massachusetts

Profile Details

NPI number 1689865214
LBN Legal business name Borodyansky, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 6th, 2010 - about 15 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 1689865214 NPPES
Massachusetts MEDICAID 110080184A
Massachusetts Other 1689865214
Massachusetts Other 0046123
Massachusetts Other 953848-01
Massachusetts Other 1689865214
Massachusetts Other AA121284

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