MEDICARE: JENNIFER CAROLINA BORJA AUD

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
1	231H00000X	Audiologist		MD

General Provider Information

NPI Number	:	1922738616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CAROLINA BORJA AUD

Provider Business Mailing Address
First Line	:	5454 WISCONSIN AVE STE 1610
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6907
Country	:	US
Telephone Number	:	240-235-0300
Fax Number	:	240-235-0303

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 1610
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6907
Country	:	US
Telephone Number	:	240-235-0300
Fax Number	:	240-235-0303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	06/15/2022

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