Dr Bruce S Boltuch, PHD is a
Psychologist based in Old Tappan, New Jersey. Dr Bruce S Boltuch is licensed to practice in New Jersey (license number 1274) and his current practice location is
88 Willow Drive, Old Tappan, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 666-7717.
NPI number for Dr Bruce S Boltuch is 1174672166 and his current mailing address is 88 Willow Drive, Old Tappan, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174672166.
Healthcare Provider's Profile
| Full Name | Dr Bruce S Boltuch |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 88 Willow Drive, Old Tappan, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174672166
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bruce S Boltuch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174672166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1274 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce S Boltuch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce S Boltuch, PHD
88 Willow Drive,
Old Tappan, NJ 07675-6831
Ph: (201) 666-7717 | Dr Bruce S Boltuch, PHD
88 Willow Drive,
Old Tappan, NJ 07675-6831
Ph: (201) 666-7717 |
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