David J Booth APRN

NPI 1154564284 - Registered Nurse - 163W00000X

NPI Details
NPI 1154564284
Gender Male
Enumeration Date 04/20/2009
Last Updated 10/11/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
687 CAMPBELL AVE
WEST HAVEN CT, 06516-3774, US
Phone (203) 314-2030
Fax (860) 349-2447
Business Location
687 CAMPBELL AVE
WEST HAVEN CT, 06516-3774, US
Phone (203) 314-2030
Fax (860) 349-2447
Toxanomy
Taxonomy Code 163W00000X
License State Connecticut
License Number 071318
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According to our database, David J Booth APRN NPI is 1154564284, taxonomy code is 163W00000X and license number is 071318, license state is located at Connecticut. David J Booth APRN physically located at 687 Campbell Ave, West Haven CT, 06516-3774. NPI Number David J Booth APRN has the Individual type.

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1154564284 NPI number is provided on an as is basis without warranty of any kind. 1154564284 is maintained by the National Plan & Provider Enumeration System. The contents of David J Booth APRN are for informational purposes only.