Basic Information
| Provider Information | |||||||||
| NPI: | 1558349365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOROWSKI | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | T. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2315 MYRTLE ST. | ||||||||
| Address2: | SUITE 190 | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165024604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144537767 | ||||||||
| FaxNumber: | 8144553937 | ||||||||
| Practice Location | |||||||||
| Address1: | 2315 MYRTLE ST. | ||||||||
| Address2: | SUITE 190 | ||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165024604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144537767 | ||||||||
| FaxNumber: | 8144546667 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2006 | ||||||||
| LastUpdateDate: | 02/17/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD069824L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0001X | MD069824L | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
ID Information
| ID | Type | State | Issuer | Description | 0017924080004 | 05 | PA | MEDICAID |