Provider Demographics
NPI:1205951795
Name:BORICK, SHEILA MARY (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MARY
Last Name:BORICK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:487 E MOORESTOWN RD
Mailing Address - Street 2:#101
Mailing Address - City:WIND GAP
Mailing Address - State:PA
Mailing Address - Zip Code:18091-9662
Mailing Address - Country:US
Mailing Address - Phone:610-863-7888
Mailing Address - Fax:610-863-1081
Practice Address - Street 1:487 E MOORESTOWN RD
Practice Address - Street 2:#101
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-9662
Practice Address - Country:US
Practice Address - Phone:610-863-7888
Practice Address - Fax:610-863-1081
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2011-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035957E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA167018Medicare ID - Type Unspecified
PAC32615Medicare UPIN