Resplendor Coligado Borlaza, MD

Individual provider Active NPI Psychiatry Physician · Tuskegee, AL

NPI 1215033147 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215033147
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
25MA03402900 (NJ)
Practice address
2400 Hospital Road
Tuskegee, AL 36083
Phone
(334) 727-0550
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03402900NJMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA03402900 NJ Yes

Addresses

Primary practice location

2400 Hospital Road
Tuskegee, AL 36083

Mailing address

327 Baytree Lane
Auburn, AL 36830
Phone (334) 826-3383

Other providers in Tuskegee, AL

All providers in Tuskegee, AL · Psychiatry Physician in Alabama

Sources for this page

Verify at the official NPI Registry.