Individual
DR. EDWARD JACKSON BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, APA-C
Contact information
Practice address
4650 TAYLOR RD BLDG 17A, BETHESDA, MD 20889-5638
(301) 295-2737
Mailing address
4650 TAYLOR RD BLDG 17A, BETHESDA, MD 20889-5638
(301) 295-2737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2008
Last updated
11/26/2025
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