Joseph Boodin is a Specialist in Upper Montclair, New Jersey. Joseph Boodin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Joseph Boodin is 1396826863. The last update date is 2007-07-08.
Joseph Boodin's current location address is 338 N Mountain Ave, Upper Montclair, New Jersey. You can contact this provider via phone number 9737464641 and fax number 9737462443. The mailing address for Joseph Boodin is 338 N Mountain Ave, Upper Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Boodin |
|---|---|
| Address | 338 N Mountain Ave, Upper Montclair, New Jersey |
| Phone Number | 9737464641 |
| Fax Number | 9737462443 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396826863 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 338 N Mountain Ave |
|---|---|
| City | Upper Montclair |
| State | New Jersey (NJ) |
| Post Code | 70431020 |
| Phone Number | 9737464641 |
| Fax Number | 9737462443 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA01674600 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Joseph Boodin by the Centers for Medicare & Medicaid Services?
The Joseph Boodin has been assigned the NPI (National Provider Identifier) 1396826863 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Joseph Boodin located?
The Joseph Boodin is located at 338 N Mountain Ave, Upper Montclair, NJ 70431020.
What is Joseph Boodin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Joseph Boodin is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Joseph Boodin receive its 1396826863 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Boodin was assigned its 1396826863 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information regarding Joseph Boodin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joseph Boodin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.