Boruchoff, Susan E.
Boruchoff, Susan E. is an individual health care provider with primary practice located at 125 Paterson St Clinical Academic Building - Suite 5100B, New Brunswick NJ 08901-1962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Boruchoff, Susan E. can be contacted via phone (732) 235-7060.Contact Information
Primary practice address
125 Paterson St Clinical Academic Building - Suite 5100B
New Brunswick NJ 08901-1962
Phone: (732) 235-7060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MA55484 | New Jersey |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 25MA05548400 | New Jersey |
Profile Details
| NPI number | 1659459626 |
|---|---|
| LBN Legal business name | Boruchoff, Susan E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659459626 | NPPES |
| New Jersey | MEDICAID | 0171409 | |
| New Jersey | Other | 440000413 |
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