Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vicki Boruta

Individual provider Medical Physician Assistant · NPI 1124120126

Vicki Boruta is a Medical Physician Assistant in Willow Grove, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

2701 Blair Mill Rd Ste 8
Willow Grove, PA 19090-1041
Phone: (215) 957-9250
Fax: (215) 957-9254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA000872-L (PA)

Record details

NPI number1124120126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2701 Blair Mill Rd, Suite 8, Willow Grove, PA 19090-1041

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