MEDICARE: ALINA BORKOWSKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MA08620300	NJ
2	261QH0100X	Health Service Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	216108RPE	OTHER	NJ	MEDICARE PTAN

General Provider Information

NPI Number	:	1851546352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA BORKOWSKA M.D.

Provider Business Mailing Address
First Line	:	1050 GALLOPING HILL RD STE 204
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7980
Country	:	US
Telephone Number	:	908-258-7985
Fax Number	:	908-258-7986

Provider Business Practice Location Address
First Line	:	1050 GALLOPING HILL RD STE 204
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7980
Country	:	US
Telephone Number	:	908-258-7985
Fax Number	:	908-258-7986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	04/04/2018

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