DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRIAN W. BOOCKOFF, PA-C

Active

MR. BRIAN W. BOOCKOFF, PA-C is a Surgical Physician Assistant healthcare provider located in WOODBURY, New Jersey. NPI 1326312430 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · WOODBURY, NJ

Registration Details

NPI Number
1326312430
Provider Type
Individual
Gender
Male
NPI Issued
Mar 7, 2012 (14.41077939383 yrs)
Last Updated
Apr 3, 2014
Licenses
25MP00280500 (NJ)
25MP00280500 (NJ)

Practice Information

Address
414 TATUM ST
WOODBURY, NJ, 080963499
Browse NJ providers · Browse ZIP 08096
Phone
8568483880
Fax
8568484895
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in WOODBURY, NJ

Name Credential NPI
JAMES D FULGINITI P.A. 1902041536
BRENNA DEAN PA-C 1326416934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.