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NPI Code Detail

MEDICARE: HARRIET BETH BOROFSKY M.D.

MEDICARE: HARRIET BETH BOROFSKY M.D.
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
12085R0202XDiagnostic Radiology PhysicianG689150CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300121862OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033162912
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRIET BETH BOROFSKY M.D.
Provider Business Mailing Address
First Line : 500 REDWOOD BLVD
Second Line : STE 300
City : NOVATO
State : CA
Zip : 94947-6921
Country : US
Telephone Number : 415-884-3415
Fax Number : 415-883-0877
Provider Business Practice Location Address
First Line : 100 S SAN MATEO DR
Second Line :
City : SAN MATEO
State : CA
Zip : 94401-3805
Country : US
Telephone Number : 650-696-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/22/2019

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