| John D Royall, M.d., Pa | |
|
108 Avenue Of Two Rivers Rumson NJ 07760-1802 | |
| (732) 747-0591 | |
| (732) 747-8343 |
| Full Name | John D Royall, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 108 Avenue Of Two Rivers, Rumson, New Jersey |
| Authorized Official Name and Position | John Douglas Royall (OWNER) |
| Authorized Official Contact | 7327470591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Royall, M.d., Pa 108 Avenue Of Two Rivers Rumson NJ 07760-1802 Ph: (732) 747-0591 | John D Royall, M.d., Pa 108 Avenue Of Two Rivers Rumson NJ 07760-1802 Ph: (732) 747-0591 |
| NPI Number | 1083925788 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083925788 | NPI | - | NPPES |
| 2990202 | Medicaid | NJ | |
| 0K1596 | Other | NJ | HEALTHNET |
| 855366 | Other | NJ | AETNA |
| J007490 | Other | NJ | CHAMPUS/TRICARE |
| P2097550 | Other | NJ | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03272600 (New Jersey) | Primary |
Mobilemd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Avenue Of Two Rivers, Rumson, NJ 07760 Phone: 732-492-1142 Fax: 732-842-5726 |