Healthcare Provider Details

I. General information

NPI: 1366521601
Provider Name (Legal Business Name): THOMAS A BOORUJY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 STATE ROUTE 10
WHIPPANY NJ
07981-2106
US

IV. Provider business mailing address

50 STATE ROUTE 10
WHIPPANY NJ
07981-2106
US

V. Phone/Fax

Practice location:
  • Phone: 973-884-3400
  • Fax: 973-884-0146
Mailing address:
  • Phone: 973-884-3400
  • Fax: 973-884-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38MC00590200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: