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Contact Information

LISA R BORGE, PA
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-5891
 Fax: 401-444-8158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA R BORGE · (Female)

NPI # 1780870691
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/25/2007
Last updated 05/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • RI License # PA00324
Hospital affiliation(s)
  • SOUTH COUNTY HOSPITAL INC - (Acute Care)
    100 KENYON AVE
    WAKEFIELD, RI 02879
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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