| Doctor Name: | DR. GARY K BOOTH |
| NPI Number: | 1962423491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 40634 |
| Business Practice Address: | 35 Bridge St Belchertown, MA - 010078909 |
| Business Phone Number: | 4132130550 |
| Business Fax Number: | 4132130554 |
| Mailing Address: | 35 Bridge Street Box 1519, Po Box 1519 BELCHERTOWN |
| State: | MA |
| Postal Code: | 01007 |
| Phone Number: | 4132130550 |
| Fax Number: | 4132130554 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 08/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 40634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |