Provider Demographics
NPI:1710991526
Name:BOROFSKY, KAREN ESTHER (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ESTHER
Last Name:BOROFSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ESTHER
Other - Last Name:LOEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:136 MOUNTAIN VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3444
Mailing Address - Country:US
Mailing Address - Phone:908-542-3100
Mailing Address - Fax:908-542-3215
Practice Address - Street 1:136 MOUNTAIN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-3444
Practice Address - Country:US
Practice Address - Phone:908-542-3100
Practice Address - Fax:908-542-3215
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078507002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0089460Medicaid
NJ0089460Medicaid
NJ092116Medicare ID - Type Unspecified