Individual provider · Type 1 NPI

Jack Borucki

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1083464549 Active

Practice location

1 Deaconess Rd
Boston, MA 02215-5321

Call (617) 754-2400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083464549

Jack Borucki's National Provider Identifier is 1083464549, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 26, 2024.