Healthcare Provider Details
I. General information
NPI: 1912090168
Provider Name (Legal Business Name): WALTER JOHN BOROWSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45 PEARL ST
METUCHEN NJ
08840-1832
US
IV. Provider business mailing address
465 SOUTH ST STE 103
MORRISTOWN NJ
07960-6442
US
V. Phone/Fax
- Phone: 732-590-6115
- Fax: 732-590-6116
- Phone: 732-590-6115
- Fax: 732-590-6116
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA04361900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: