Broudy, Abraham E
Broudy, Abraham E is an individual health care provider with primary practice located at 2440 Fenton St. Ste. 100, Chula Vista CA 91914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Broudy, Abraham E can be contacted via phone (619) 656-3040.Contact Information
Primary practice address
2440 Fenton St. Ste. 100
Chula Vista CA 91914
Phone: (619) 656-3040
Fax: (619) 656-3045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A71609 | California |
Profile Details
| NPI number | 1528039526 |
|---|---|
| LBN Legal business name | Broudy, Abraham E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jan 28th, 2011 - about 13 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 | 1528039526 | NPPES |
| California | Other | A71609 | MD LICENSE |
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