Individual
DAVID J BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
I CELLINI PLACE, SUITE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
I CELLINI PLACE, SUITE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071318
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004113
CT
Other
Enumeration date
04/20/2009
Last updated
03/08/2023
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