Organization
JOHN D ROYALL, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DOUGLAS ROYALL MD (OWNER)
(732) 747-0591
Entity
Organization
Contact information
Practice address
108 AVENUE OF TWO RIVERS, RUMSON, NJ 07760-1802
(732) 747-0591
(732) 747-8343
Mailing address
108 AVENUE OF TWO RIVERS, RUMSON, NJ 07760-1802
(732) 747-0591
(732) 747-8343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03272600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K1596
HEALTHNET
NJ
05
—
2990202
—
NJ
01
—
855366
AETNA
NJ
01
—
J007490
CHAMPUS/TRICARE
NJ
01
—
P2097550
OXFORD
NJ
Enumeration date
06/28/2010
Last updated
06/28/2010
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