Individual
DR. SCOTT A BORUCHOW
Active
Individual
DR. SCOTT A BORUCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236439
MA
2084N0400X
Neurology Physician
Primary
P5598
TX
390200000X
Student in an Organized Health Care Education/Training Program
236439
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319331001
—
TX
01
—
P01331818
RRMC
TX
Enumeration date
09/12/2008
Last updated
06/14/2023
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