Individual provider · Type 1 NPI
Scott David Boruchov, MD
Diagnostic Radiology Physician · Glassboro, NJ
NPI number
1891775755
Active
Practice location
43 Delsea Dr S Ste A
Glassboro, NJ 08028-2620
Fax (800) 643-0747
Other practice locations
- 1024 S Lemay Ave, Fort Collins, CO 80524-3929 · (970) 495-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | CDRH.0063910 (CO) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 25MA07086700 (NJ) |
| Diagnostic Radiology Physician | 2085R0202X | CP006 (NE) |
| Diagnostic Radiology Physician | 2085R0202X | 15411C (WY) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1891775755
Scott David Boruchov, MD's National Provider Identifier is 1891775755, issued on Jan 18, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Glassboro, NJ. The record was last updated on Jun 22, 2023.