Provider Demographics
NPI:1174572283
Name:BORROMEO, ABEL C V (DC)
Entity type:Individual
Prefix:DR
First Name:ABEL
Middle Name:C
Last Name:BORROMEO
Suffix:V
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:125 PROSPERITY DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-5385
Mailing Address - Country:US
Mailing Address - Phone:540-868-0144
Mailing Address - Fax:540-868-0166
Practice Address - Street 1:125 PROSPERITY DR
Practice Address - Street 2:SUITE 600
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602
Practice Address - Country:US
Practice Address - Phone:540-868-0144
Practice Address - Fax:540-868-0166
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2008-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA227306OtherANTHEM BLUE CROSS