Provider Demographics
NPI:1548876287
Name:BORGESI, JULIA NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:NICOLE
Last Name:BORGESI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:51 N 39TH STREET
Mailing Address - Street 2:MYRIN BASEMENT M01
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:856-562-5912
Mailing Address - Fax:
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:GROUND SILVERSTEIN BLDG
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:856-562-5912
Practice Address - Fax:215-662-3953
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2024-11-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA062729363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant