Healthcare Provider Details

I. General information

NPI: 1790219988
Provider Name (Legal Business Name): SWC FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3933 PERKIOMEN AVE SUITE 101
READING PA
19606-2756
US

IV. Provider business mailing address

3933 PERKIOMEN AVE SUITE 101
READING PA
19606-2756
US

V. Phone/Fax

Practice location:
  • Phone: 610-779-4588
  • Fax: 610-779-8040
Mailing address:
  • Phone: 610-779-4588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberUP006288B
License Number StatePA

VIII. Authorized Official

Name: DR. PATRICK M BORJA
Title or Position: OWNER
Credential: D.C.
Phone: 610-779-4588