Healthcare Provider Details

I. General information

NPI: 1326905456
Provider Name (Legal Business Name): ALISON BORDEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 EAST ST STE 10
HANOVER MA
02339-1638
US

IV. Provider business mailing address

113 FOGG WAY
HINGHAM MA
02043-1626
US

V. Phone/Fax

Practice location:
  • Phone: 617-797-9545
  • Fax:
Mailing address:
  • Phone: 617-797-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2328597
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: