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NPI Code Detail

MEDICARE: JANICE K TILLER-BORCICH MD

MEDICARE: JANICE K TILLER-BORCICH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZN0500XNeuropathology PhysicianMD13591HI
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD13591HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1258533OTHERHIHMSA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
358199300OTHERHIALOHACARE

General Provider Information

NPI Number : 1659459576
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE K TILLER-BORCICH MD
Provider Business Mailing Address
First Line : 1190 WAIANUENUE AVE
Second Line :
City : HILO
State : HI
Zip : 96720-2020
Country : US
Telephone Number : 808-974-6898
Fax Number : 808-935-6928
Provider Business Practice Location Address
First Line : 1190 WAIANUENUE AVE
Second Line :
City : HILO
State : HI
Zip : 96720-2020
Country : US
Telephone Number : 808-974-6898
Fax Number : 808-935-6928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2025

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