Broussard-Steinberg, Candace Marie

Broussard-Steinberg, Candace Marie is an individual health care provider with primary practice located at 1250 Hancock St Ste 505S , Quincy MA 02169-4339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Broussard-Steinberg, Candace Marie can be contacted via phone (781) 253-7165.

Contact Information

Primary practice address
1250 Hancock St Ste 505S Quincy MA 02169-4339
Fax: (781) 253-7166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1017761 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01084188A Indiana

Profile Details

NPI number 1568810935
LBN Legal business name Broussard-Steinberg, Candace Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Mar 13th, 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 1568810935 NPPES
Indiana MEDICAID 201369530

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