Provider Demographics
NPI:1205959491
Name:HOWARD Z BORIN MD LLC
Entity type:Organization
Organization Name:HOWARD Z BORIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:BORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-655-3242
Mailing Address - Street 1:910 FOULK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3158
Mailing Address - Country:US
Mailing Address - Phone:302-655-3242
Mailing Address - Fax:302-655-5392
Practice Address - Street 1:910 FOULK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3158
Practice Address - Country:US
Practice Address - Phone:302-655-3242
Practice Address - Fax:302-655-5392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0000547208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000088301Medicaid
DE0000088301Medicaid