Individual
DR. ROBERT L BOOTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-3472
(419) 383-6130
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-3472
(419) 383-6130
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
35053764
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35053764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815238
—
OH
Enumeration date
07/08/2005
Last updated
01/29/2019
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