Bromberg, Assia
Bromberg, Assia is an sole proprietor health care provider with primary practice located at 19-20 Fair Lawn Ave , Fair Lawn NJ 07410-2341. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bromberg, Assia can be contacted via phone (201) 794-1963.Contact Information
Primary practice address
19-20 Fair Lawn Ave
Fair Lawn NJ 07410-2341
Phone: (201) 794-1963
Fax: (201) 794-8086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA05086600 | New Jersey |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA05086600 | New Jersey |
Profile Details
NPI number | 1629047261 |
---|---|
LBN Legal business name | Bromberg, Assia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 16th, 2006 |
Last updated | Dec 7th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629047261 | NPPES |
New Jersey | MEDICAID | 5345901 |
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