Booker, Larnie Jamal

Booker, Larnie Jamal is an individual health care provider with primary practice located at 33 Brunswick Woods Dr , East Brunswick NJ 08816-5601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Booker, Larnie Jamal can be contacted via phone (732) 257-4330.

Contact Information

Primary practice address
33 Brunswick Woods Dr East Brunswick NJ 08816-5601
Phone: (732) 257-4330
Fax: (732) 257-5986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA06967700 New Jersey

Profile Details

NPI number 1730279563
LBN Legal business name Booker, Larnie Jamal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 27th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730279563 NPPES
New Jersey Other 222130958 TAX ID
New Jersey MEDICAID 0132187 TAX ID

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