Provider Demographics
NPI:1558641738
Name:BOOTH, FRANK VICTOR MCLEAN (BM BCH)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:VICTOR MCLEAN
Last Name:BOOTH
Suffix:
Gender:M
Credentials:BM BCH
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Mailing Address - Street 1:190 SAYRE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-5801
Mailing Address - Country:US
Mailing Address - Phone:609-452-2024
Mailing Address - Fax:832-213-3915
Practice Address - Street 1:190 SAYRE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-5801
Practice Address - Country:US
Practice Address - Phone:609-452-2024
Practice Address - Fax:832-213-3915
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01057708A2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care