Healthcare Provider Details

I. General information

NPI: 1871570044
Provider Name (Legal Business Name): MARK E BOROWSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD SUITE 2335
NEWARK DE
19713-2055
US

IV. Provider business mailing address

3600 ROUTE 66 FL 3
NEPTUNE NJ
07753-2645
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4285
  • Fax: 302-623-4155
Mailing address:
  • Phone: 732-807-0800
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberC10005136
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: