Jeffery David Borup, 24720000X
NPI #1780726752 in Jb Mdl, New Jersey
Provider Information
- NPI Number
- 1780726752
- Entity Type
- Individual
- Name
- Jeffery David Borup, 24720000X
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- 24720000X
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 5614 DOUGHBOY LOOP
- City
- Jb Mdl
- State
- New Jersey
- ZIP Code
- 08640-5429
- Phone
- (609) 724-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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