Bromberg, Jonathan
Bromberg, Jonathan is an individual health care provider with primary practice located at 16 S Eutaw St Fl 1 , Baltimore MD 21201-1606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Bromberg, Jonathan can be contacted via phone (410) 328-5408.Contact Information
Primary practice address
16 S Eutaw St Fl 1
Baltimore MD 21201-1606
Phone: (410) 328-5408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 213609 | New York |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | D71017 | Maryland |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 213609 | New York |
Profile Details
| NPI number | 1497721294 |
|---|---|
| LBN Legal business name | Bromberg, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 13th, 2019 - about 5 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 | 1497721294 | NPPES |
| New York | MEDICAID | 02094439 |
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