Provider Demographics
NPI:1326442211
Name:BORBELY, MARION A (RPH)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:A
Last Name:BORBELY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 GRAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2018
Mailing Address - Country:US
Mailing Address - Phone:908-399-8417
Mailing Address - Fax:
Practice Address - Street 1:124 GRAND VIEW DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2018
Practice Address - Country:US
Practice Address - Phone:908-399-8417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01420000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist