Provider Demographics
NPI:1316258593
Name:BORMAN, ERICA L (DO)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:L
Last Name:BORMAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5060 STATE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4609
Mailing Address - Country:US
Mailing Address - Phone:610-626-8085
Mailing Address - Fax:610-626-8032
Practice Address - Street 1:5060 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4609
Practice Address - Country:US
Practice Address - Phone:610-626-8085
Practice Address - Fax:610-626-8032
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0715102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry