Individual
DR. SUSAN E. BORUCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100B, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7060
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA05548400
NJ
207RI0200X
Infectious Disease Physician
MA55484
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171409
—
NJ
01
—
440000413
R R MCR
NJ
Enumeration date
11/01/2006
Last updated
07/23/2021
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