Scott A Boruchow M.D.

NPI 1174772354 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1174772354
Gender Male
Enumeration Date 09/12/2008
Last Updated 08/21/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
12221 N MOPAC EXPY
AUSTIN TX, 78758-2401, US
Phone (512) 901-4011
Fax (512) 901-3911
Business Location
12221 N MOPAC EXPY
AUSTIN TX, 78758-2401, US
Phone (512) 901-4011
Fax (512) 901-3911
Toxanomy
Taxonomy Code 390200000X
License State Massachusetts
License Number 236439
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According to our database, Dr. Scott A Boruchow M.D. NPI is 1174772354, taxonomy code is 390200000X and license number is 236439, license state is located at Massachusetts. Scott A Boruchow M.D. physically located at 12221 N Mopac Expy, Austin TX, 78758-2401. NPI Number Scott A Boruchow M.D. has the Individual type.

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1174772354 NPI number is provided on an as is basis without warranty of any kind. 1174772354 is maintained by the National Plan & Provider Enumeration System. The contents of Scott A Boruchow M.D. are for informational purposes only.