Borsuk, Gregory Michael

Borsuk, Gregory Michael is an individual health care provider with primary practice located at 1416 Hooper Ave , Toms River NJ 08753-2825. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Borsuk, Gregory Michael can be contacted via phone (732) 349-2992.

Contact Information

Primary practice address
1416 Hooper Ave Toms River NJ 08753-2825
Phone: (732) 349-2992
Fax: (732) 349-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA02090900 New Jersey

Profile Details

NPI number 1083619084
LBN Legal business name Borsuk, Gregory Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
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 1083619084 NPPES
Other 0087200 GHI
Other 01000184900 GHI
MEDICAID 1453106 GHI
Other 0083789000 GHI
Other 145184 GHI
Other 1047522 GHI
Other P391182 GHI
Other 0462430 GHI
Other 0K1557 GHI
Other 19566 GHI

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