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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497721294 NPPES
New York MEDICAID 02094439

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