Provider Demographics
NPI:1427221092
Name:BOROWICZ, VIOLET (MD)
Entity Type:Individual
Prefix:DR
First Name:VIOLET
Middle Name:
Last Name:BOROWICZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 BELLEVIEW AVE SE
Mailing Address - Street 2:CARILION CHILDREN'S PEDIATRIC HEMATOLOGY ONCOLOGY
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1838
Mailing Address - Country:US
Mailing Address - Phone:540-981-7376
Mailing Address - Fax:540-985-5306
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:CARILION CHILDREN'S PEDIATRIC HEMATOLOGY ONCOLOGY
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-981-7376
Practice Address - Fax:540-985-5306
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA01012563612080P0207X
PAMT192645208000000X
DEC7-0004030208000000X
DCMD0393302080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics