MEDICARE: BAR BOROHOV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	1026689	MA
2	390200000X	Student in an Organized Health Care Education/Training Program	R80178	AZ

General Provider Information

NPI Number	:	1003505553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAR BOROHOV

Provider Business Mailing Address
First Line	:	170 FRELINGHUYSEN RD
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-8020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 FRELINGHUYSEN RD
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-8020
Country	:	US
Telephone Number	:	848-445-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	06/06/2026

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Directions to “ BAR BOROHOV ” Practice Location

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