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DR. PETER CHARLES BOORJIAN M.D.F.A.C.S. NPI 1770550485


NPI Information

NPI: 1770550485
Provider Name: DR. PETER CHARLES BOORJIAN, M.D.,F.A.C.S.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
777 BLOOMFIELD AVE
GLEN RIDGE, NJ
ZIP 07028
Phone: (973) 746-3322
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DR. Peter Charles Boorjian, M.D.,F.A.C.S. is a specialist in Glen Ridge, NJ. The provider is 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. DR. Peter Charles Boorjian, M.D.,F.A.C.S. NPI is 1770550485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 BLOOMFIELD AVE
GLEN RIDGE, NJ
ZIP 07028-325
Phone: (973) 746-3322
Fax: (973) 429-8765

The enumeration date for this NPI number is 3/1/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMA026559NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AVS196546MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2D97079MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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