Healthcare Provider Details

I. General information

NPI: 1538213806
Provider Name (Legal Business Name): MARSHA D BORNT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD SUITE 230
YORK PA
17403-5060
US

IV. Provider business mailing address

25 MONUMENT RD SUITE 230
YORK PA
17403-5060
US

V. Phone/Fax

Practice location:
  • Phone: 717-741-0857
  • Fax: 717-741-3630
Mailing address:
  • Phone: 717-741-0857
  • Fax: 717-741-3630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARSHA D BORNT
Title or Position: OWNER
Credential: M.D.
Phone: 717-741-0857