person
Vicki Boruta
Medical Physician Assistant in Willow Grove, Pennsylvania
NPI 1124120126

Vicki Boruta is a Medical Physician Assistant based in Willow Grove, PA and is specialized in Medical. Vicki Boruta practices in Willow Grove, PA. The NPI Number for Vicki Boruta is 1124120126 and holds a License No. MA000872-L (Pennsylvania).

The current practice location address for Vicki Boruta is 2701 Blair Mill Rd, Willow Grove, PA and can be reached out via phone at 215-957-9250 and via fax at 215-957-9254.

Location: 2701 Blair Mill Rd, Willow Grove, PA, 19090-1041
person
Provider Profile Details
NPI Number
1124120126
Provider Name
Vicki Boruta
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 Blair Mill Rd, Willow Grove, PA, 19090-1041
Phone Number
215-957-9250
Fax Number
215-957-9254
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2701 Blair Mill Rd
City
State
Zip
19090-1041
Phone Number
215-957-9250
Fax Number
215-957-9254
person
Provider Business Mailing Address Details
Address
2701 Blair Mill Rd
City
State
Zip
19090-1041
Phone Number
215-957-9250
Fax Number
215-957-9254
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA000872-L (Pennsylvania)
Definition
Definition to come...
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