Healthcare Provider Details

I. General information

NPI: 1487625521
Provider Name (Legal Business Name): DENNIS P BORCZON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5515 PEACH ST
ERIE PA
16509-2603
US

IV. Provider business mailing address

2808 STATE ST
ERIE PA
16508-1830
US

V. Phone/Fax

Practice location:
  • Phone: 814-864-4031
  • Fax: 814-868-8274
Mailing address:
  • Phone: 814-456-2457
  • Fax: 814-456-7679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD029682E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD029682E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: