| Dr Nicholas Nicholson Borodulia, MD | |
|
1400 Coastal Hwy, Fenwick Island, DE 19944-4452 | |
| (302) 581-0458 | |
| (302) 581-0460 |
| Full Name | Dr Nicholas Nicholson Borodulia |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 1400 Coastal Hwy, Fenwick Island, Delaware |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225004294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10001802 (Delaware) | Secondary |
| 207Q00000X | Family Medicine | D0028769 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Salisbury, MD | Home health agency |
| Coastal Hospice Inc | Salisbury, MD | Hospice |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Atlantic General Hospital | Berlin, MD | Hospital |
| Berlin Nursing And Rehabilitation Center | Berlin, MD | Nursing home |
| Autumn Lake Healthcare At Chesapeake Woods | Cambridge, MD | Nursing home |
| Entity Name | Five Star Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040528000495 |
| Entity Name | Fenwick Medical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396780664 PECOS PAC ID: 1355348889 Enrollment ID: O20061026000145 |
| Entity Name | Atlantic Recovery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952812794 PECOS PAC ID: 5092072777 Enrollment ID: O20171206001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Nicholson Borodulia, MD 12036 S Piney Point Rd, Bishopville, MD 21813-1542 Ph: (302) 581-0458 | Dr Nicholas Nicholson Borodulia, MD 1400 Coastal Hwy, Fenwick Island, DE 19944-4452 Ph: (302) 581-0458 |