Individual
BOOTH HAMMOND DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 EGG HARBOR RD STE C1, SEWELL, NJ 08080
(856) 256-8899
Mailing address
570 EGG HARBOR RD STE C1, SEWELL, NJ 08080-2359
(856) 256-8899
(856) 256-8868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA03237000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740392075
NPI
—
01
—
25MA03237000
STATE LICENSE
NJ
Enumeration date
08/31/2006
Last updated
08/03/2025
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