Individual
DR. DENIECE TAMARA BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
3240 HENRY HUDSON PKWY, APT 4F, BRONX, NY 10463-3212
(718) 530-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB09530500
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25MB09530500
NJ
Other
Enumeration date
07/15/2009
Last updated
08/06/2014
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