GREG BOOTH

LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC

Dr GREG BOOTH is a male medical professional, specializing in Internal Medicine. He graduated in 2003 from Jefferson Medical College Of Thomas Jefferson University.

Contact

LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC

4231 N WOODS TRAIL
CARROLL MEDICAL GROUP
HAMPSTEAD
MD
210743128

Tel: 4103749391

GREG BOOTH Information

Npi 1063674174
Pac Id 2567761547
Professional Enrollment Id I20160426000109
Last Name BOOTH
First Name GREG
Middle Name
Suffix
Gender M
Credential
Medical School Name JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 2003
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC
Group Practice Pac Id 2769709393
Number Of Group Practice Members 9
Line 1 Street Address 4231 N WOODS TRAIL
Line 2 Street Address CARROLL MEDICAL GROUP
Marker Of Address Line 2 Suppression
City HAMPSTEAD
State MD
Zip Code 210743128
Phone Number 4103749391
Hospital Affiliation Ccn 1 210012
Hospital Affiliation Lbn 1 SINAI HOSPITAL OF BALTIMORE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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