Healthcare Provider Details

I. General information

NPI: 1144457102
Provider Name (Legal Business Name): ASSOCIATED PODIATRISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26750 PROVIDENCE PKWY SUITE 130
NOVI MI
48374-1211
US

IV. Provider business mailing address

26750 PROVIDENCE PKWY SUITE 130
NOVI MI
48374-1211
US

V. Phone/Fax

Practice location:
  • Phone: 248-348-5300
  • Fax: 248-348-5410
Mailing address:
  • Phone: 248-348-5300
  • Fax: 248-348-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number213E00000X
License Number StateMI

VIII. Authorized Official

Name: DR. MARC A BOROVOY
Title or Position: PRESIDENT
Credential: DPM
Phone: 248-348-5300