Boruchov, Scott David

Boruchov, Scott David is an individual health care provider with primary practice located at 43 Delsea Dr S Ste A , Glassboro NJ 08028-2620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boruchov, Scott David can be contacted via phone (800) 916-6067.

Contact Information

Primary practice address
43 Delsea Dr S Ste A Glassboro NJ 08028-2620
Phone: (800) 916-6067
Fax: (800) 643-0747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X CDRH.0063910 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07086700 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X CP006 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15411C Wyoming

Profile Details

NPI number 1891775755
LBN Legal business name Boruchov, Scott David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891775755 NPPES
New Jersey MEDICAID 8266701

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