Jeffery David Borup, 24720000X
Individual provider Active NPI Other Technician · JB MDL, NJ
NPI 1780726752 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1780726752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 5614 Doughboy Loop
JB MDL, NJ 08640-5429 - Phone
- (609) 724-0008
- Fax
- (609) 724-0232
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
5614 Doughboy Loop
JB MDL, NJ 08640-5429
Mailing address
5614 Doughboy Loop
JB MDL, NJ 08640-5429
Phone (609) 724-0008
Other providers in JB MDL, NJ
- Jacqueline Marie Armendinger
- Yolanda Alicia Backus
- Gregory Adam Baker
- Jeanina Kay Bandy
- Natasha Bica
- Lisa Marie Bowling
- Dennis M Boyer
- Samantha Caceres
- David C Dimoplon
- Stephen Dorse
All providers in JB MDL, NJ · Other Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.