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Contact Information

STANISLAV BORODYANSKY, PA-C
3 COOPER PLZ RM 408
CAMDEN, NJ08103
 Phone: 856-968-7363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
 

Medical-Surgical

364SM0705X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for STANISLAV BORODYANSKY · (Male)

NPI Number 1619328564
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/22/2016
Last updated 05/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00506000
  • PA License # MA058251
  • PA License # PROCESSING
Hospital affiliation(s)
  • COOPER UNIVERSITY HOSPITAL - (Acute Care)
    1 COOPER PLAZA
    CAMDEN, NJ 08103
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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