Individual provider · Type 1 NPI
Tina Bordonaro
Surgical Physician Assistant · Front Royal, VA
NPI number
1427428937
Active
Practice location
920 N Shenandoah Ave Ste 101
Front Royal, VA 22630
Fax (703) 642-1876
Mailing address
11350 Mccormick Rd, Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | C0005787 (MD) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1427428937
Tina Bordonaro's National Provider Identifier is 1427428937, issued on Sep 28, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Front Royal, VA. The record was last updated on May 31, 2018.