Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38MC00590200 | NJ |
NPI | 1366521601 |
---|---|
Provider Name | Dr. Thomas A Boorujy |
First Address | Whippany, NJ 07981-2106 |
Second Address | Whippany, NJ 07981-2106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |