Broska, Pamela

Broska, Pamela is an individual health care provider with primary practice located at 72785 Frank Sinatra Dr Suite 101, Rancho Mirage CA 92270-3205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Broska, Pamela can be contacted via phone (760) 969-5900.

Contact Information

Primary practice address
72785 Frank Sinatra Dr Suite 101 Rancho Mirage CA 92270-3205
Phone: (760) 969-5900
Fax: (760) 969-5900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G61351 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G61351 California

Profile Details

NPI number 1770535304
LBN Legal business name Broska, Pamela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 13th, 2013 - about 11 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 1770535304 NPPES
California Other 00G613512 INDIVIDUAL PTAN
California Other 070013862 INDIVIDUAL PTAN

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