Doctor Name: | MR. WILBUR LAWRENCE BORSKEY |
NPI Number: | 1427028703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G22110 |
Business Practice Address: | 25800 Carlos Bee Blvd California State University East Bay Hayward, CA - 945423060 |
Business Phone Number: | 5108853735 |
Business Fax Number: | 5108853230 |
Mailing Address: | 25800 Carlos Bee Blvd, California State University East Bay HAYWARD |
State: | CA |
Postal Code: | 945423060 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G22110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |