Organization
BOOTH RADIOLOGY ASSOCIATES PA
Active
Organization
BOOTH RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BROWN (OFFICE MANAGER)
(856) 848-4998
Entity
Organization
Contact information
Practice address
748 KINGS HWY, WOODBURY, NJ 08096-3157
(856) 848-4998
(856) 848-9288
Mailing address
PO BOX 344, WOODBURY, NJ 08096-7344
(856) 848-4998
(856) 848-9288
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23313
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2599503
—
NJ
Enumeration date
07/12/2005
Last updated
08/22/2020
Update your record
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