Individual provider · Type 1 NPI

Stanislav Borodyansky, PA-C

Surgical Physician Assistant · Camden, NJ

NPI number 1619328564 Active

Practice location

3 Cooper Plz Rm 408
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088

Other practice locations

  • 380 Oxford Valley Rd, Langhorne, PA 19047-8304 · (888) 678-4632

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00506000 (NJ)
Surgical Physician Assistant 363AS0400XMA058251 (PA)
Emergency Clinical Nurse Specialist 364SE0003XPROCESSING (PA)
Medical-Surgical Clinical Nurse Specialist 364SM0705XPROCESSING (PA)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1619328564

Stanislav Borodyansky, PA-C's National Provider Identifier is 1619328564, issued on Jun 22, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Camden, NJ. The record was last updated on May 8, 2019.