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Individual

MR. SCOTT DAVID BORUCHOV

Active
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Individual

MR. SCOTT DAVID BORUCHOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15411C
WY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07086700
NJ
2085R0202X
Diagnostic Radiology Physician
CDRH.0063910
CO
2085R0202X
Diagnostic Radiology Physician
CP006
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8266701
NJ
Enumeration date
01/18/2006
Last updated
06/22/2023
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