Brochu, Brian T

Brochu, Brian T is an individual health care provider with primary practice located at 157 Union St , Marlborough MA 01752-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brochu, Brian T can be contacted via phone (508) 486-5600.

Contact Information

Primary practice address
157 Union St Marlborough MA 01752-1228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 226910 Massachusetts

Profile Details

NPI number 1922164755
LBN Legal business name Brochu, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated May 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922164755 NPPES
Massachusetts MEDICAID 110079811A

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