Dr. Ethan Daniel Borre, MD, PhD
Internal Medicine in Boston, MA. Individual provider (NPI-1).
NPI number1245932011
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1245932011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ethan Daniel Borre
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2023
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1028428 | MA | Yes |
Practice location
55 Fruit StBoston, MA 02114-2621
Phone 617-726-2000
Mailing address
55 Fruit StBoston, MA 02114-2621
Other practice locations
1153 Centre St
Jamaica Plain, MA 02130-3446
Jamaica Plain, MA 02130-3446
Phone 617-983-7000
75 Francis St
Boston, MA 02115-6110
Boston, MA 02115-6110
Phone 617-732-5500
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