Healthcare Provider Details

I. General information

NPI: 1477666378
Provider Name (Legal Business Name): KARIN E BORGMANN-WINTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 MARKET ST SUITE 200
PHILADELPHIA PA
19104-3325
US

IV. Provider business mailing address

33 S 9TH ST STE 210
PHILADELPHIA PA
19107-4408
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-7555
  • Fax: 215-590-7387
Mailing address:
  • Phone: 215-590-7532
  • Fax: 215-590-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD070433L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD070433L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: