Healthcare Provider Details

I. General information

NPI: 1205959491
Provider Name (Legal Business Name): HOWARD Z BORIN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 FOULK RD SUITE 101
WILMINGTON DE
19803-3158
US

IV. Provider business mailing address

910 FOULK RD SUITE 101
WILMINGTON DE
19803-3158
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-3242
  • Fax: 302-655-5392
Mailing address:
  • Phone: 302-655-3242
  • Fax: 302-655-5392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0000547
License Number StateDE

VIII. Authorized Official

Name: DR. HOWARD Z. BORIN
Title or Position: OWNER
Credential: M.D.
Phone: 302-655-3242