Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Daniel Borre, MD, PHD

Individual provider Internal Medicine Physician · NPI 1245932011

Dr. Ethan Daniel Borre, MD, PHD is an Internal Medicine in Boston, Massachusetts. Qualified in 2023, 3 years ago. Works from 3 locations. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500
  • 1153 Centre St, Jamaica Plain, MA 02130-3446 — (617) 983-7000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1028428 (MA)

Record details

NPI number1245932011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address55 Fruit St, Boston, MA 02114-2621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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