Individual provider · Type 1 NPI

Vicki Boruta

Medical Physician Assistant · Willow Grove, PA

NPI number 1124120126 Active

Practice location

2701 Blair Mill Rd, Suite 8
Willow Grove, PA 19090-1041

Fax (215) 957-9254

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA000872-L (PA)

Medical Physician Assistant: Definition to come...

29 other providers at this address

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About NPI 1124120126

Vicki Boruta's National Provider Identifier is 1124120126, issued on Sep 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Willow Grove, PA. The record was last updated on Jul 8, 2007.