Bronk, Martin Irwin

Bronk, Martin Irwin is an individual health care provider with primary practice located at 1300 Crane Street , Menlo Park CA 94025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bronk, Martin Irwin can be contacted via phone (650) 498-6500.

Contact Information

Primary practice address
1300 Crane Street Menlo Park CA 94025
Fax: (650) 322-1329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G42455 California

Profile Details

NPI number 1083678726
LBN Legal business name Bronk, Martin Irwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Apr 28th, 2024 - about 8 months 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 1083678726 NPPES
Other MMM00087M NHIC

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