Vicki Boruta
NPI #1124120126 in Willow Grove, Pennsylvania
Provider Information
- NPI Number
- 1124120126
- Entity Type
- Individual
- Name
- Vicki Boruta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2701 BLAIR MILL RD
- Address 2
- SUITE 8
- City
- Willow Grove
- State
- Pennsylvania
- ZIP Code
- 19090-1041
- Phone
- (215) 957-9250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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