Individual
MR. SCOTT DAVID BORUCHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 DELSEA DR S STE A, GLASSBORO, NJ 08028-2620
(800) 916-6067
(800) 643-0747
Mailing address
43 DELSEA DR S STE A, GLASSBORO, NJ 08028-2620
(800) 916-6067
(800) 643-0747
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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