NPI Index

DR. MARY BORUTA, MD

Pediatrics - Pediatric Gastroenterology

Active Individual
NPI: 1518191204

Practice Address

1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
Charlotte, NC 28203

Phone: (704) 381-8840

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 2015-00920 (NC)
Pediatrics - Pediatric Gastroenterology 2080P0206X Yes 2015-00920 (NC)

Frequently Asked Questions

NPI 1518191204 is the National Provider Identifier for DR. MARY BORUTA, MD, a Pediatrics - Pediatric Gastroenterology provider located in Charlotte, NC. This NPI was enumerated on May 8, 2009.
DR. MARY BORUTA, MD practices at 1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, Charlotte, NC 28203.

Quick Facts

NPI
1518191204
Type
Individual
Enumerated
May 8, 2009
Last Updated
Aug 5, 2024

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