Provider Demographics
NPI:1851546352
Name:BORKOWSKA, ALINA (MD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:BORKOWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 GALLOPING HILL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7980
Mailing Address - Country:US
Mailing Address - Phone:908-258-7985
Mailing Address - Fax:908-258-7986
Practice Address - Street 1:1050 GALLOPING HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7980
Practice Address - Country:US
Practice Address - Phone:908-258-7985
Practice Address - Fax:908-258-7986
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08620300207Q00000X
261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ216108RPEOtherMEDICARE PTAN
NJ45-5417966OtherUNION MEDIHEALTH LLC TIN #