Broussard, Crystal N
Broussard, Crystal N is an individual health care provider with primary practice located at 466 Old Hook Rd Suite 1, Emerson NJ 07630-1396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Broussard, Crystal N can be contacted via phone (201) 967-8221.Contact Information
Primary practice address
466 Old Hook Rd Suite 1
Emerson NJ 07630-1396
Phone: (201) 967-8221
Fax: (201) 634-9647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 69764 | New Jersey |
Profile Details
| NPI number | 1114955846 |
|---|---|
| LBN Legal business name | Broussard, Crystal N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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