Broketa, Goran

Broketa, Goran is an individual health care provider with primary practice located at 718 Smyth Rd , Manchester NH 03104-7007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Broketa, Goran can be contacted via phone (603) 624-4366.

Contact Information

Primary practice address
718 Smyth Rd Manchester NH 03104-7007
Phone: (603) 624-4366
Fax: (603) 629-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD060211L Pennsylvania

Profile Details

NPI number 1033153374
LBN Legal business name Broketa, Goran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 12th, 2010 - about 15 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 1033153374 NPPES
New York MEDICAID 02148570
New York MEDICAID 0018385800001
New York Other 830007394
New York Other GU039777
New York Other GU039841
New York Other CC9269

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