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NPI Code Detail

MEDICARE: MR. MATTHEW J BOROWSKI CRNA

MEDICARE:  MR. MATTHEW J BOROWSKI  CRNA
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
1367500000XCertified Registered Nurse Anesthetist66594WV

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 : 1487622270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW J BOROWSKI CRNA
Provider Business Mailing Address
First Line : 757 SE 17TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-2960
Country : US
Telephone Number : 207-408-4087
Fax Number :
Provider Business Practice Location Address
First Line : 757 SE 17TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-2960
Country : US
Telephone Number : 207-408-4087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MATTHEW J BOROWSKI CRNA” Practice Location

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