Provider Demographics
NPI:1568032910
Name:ROYAL MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:ROYAL MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JOLANTA
Authorized Official - Last Name:BOROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-844-8885
Mailing Address - Street 1:1 CARRIAGE CITY PLZ APT 1622
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5190
Mailing Address - Country:US
Mailing Address - Phone:201-844-8885
Mailing Address - Fax:
Practice Address - Street 1:1 CARRIAGE CITY PLZ
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-5181
Practice Address - Country:US
Practice Address - Phone:201-844-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty