TIMOTHY BORGES

PROVIDENCE, RI
NPI1649545500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: RI  OTA00549)
Additional Taxonomies174400000X Specialist
(Licence: RI  224Z00000X)
Enumeration Date2012-03-12
Last Update Date2012-03-12
Business Address
-- TIMOTHY BORGES COTA
134 THURBERS AVE 220A
PROVIDENCE, RI 02905-4754
Phone number: 401-270-9991
Mailing Address
-- TIMOTHY BORGES COTA
134 THURBERS AVE 220A
PROVIDENCE, RI 02905-4754
Phone number: 401-270-9991