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NPI Code Detail

MEDICARE: DR. SONYA BOOR MD

MEDICARE: DR. SONYA BOOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician25MA07105200NJ

General Provider Information

NPI Number : 1114970878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONYA BOOR MD
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number : 856-504-8029
Provider Business Practice Location Address
First Line : 2133 STATE HIGHWAY 33
Second Line :
City : HAMILTON SQUARE
State : NJ
Zip : 08690-1740
Country : US
Telephone Number : 609-581-5100
Fax Number : 609-581-5134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/04/2010

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