Richard A. Boothby
Gynecologic Oncologist
111 Colchester Ave
Burlington
, Vermont 05401-1473
Richard A. Boothby
Gynecologic Oncologist
111 Colchester Ave
Burlington
, Vermont 05401-1473
(941) 917-7884
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Richard A. Boothby
- Po Box 863407
- Orlando, FL
- Zip : 32886-3407
- Fax : (941) 917-7884
- Phone : (941) 917-2600
Second Address
- Richard A. Boothby
- 111 Colchester Ave
- Burlington, VT
- Zip : 05401-1473
- Phone : (802) 847-0000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 042-0014870 | VT |
| N | 207VX0201X | Gynecologic Oncologist | ME0038681 | FL |
National Provider Identifier
| NPI | 1376548354 |
|---|---|
| Provider Name | Richard A. Boothby |
| First Address | Orlando, FL 32886-3407 |
| Second Address | Burlington, VT 05401-1473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 09/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 376537700 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.