Broyles, Ana D

Broyles, Ana D is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Broyles, Ana D can be contacted via phone (617) 355-6117.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 78971 Massachusetts

Profile Details

NPI number 1346330446
LBN Legal business name Broyles, Ana D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 6th, 2014 - about 10 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 1346330446 NPPES
Massachusetts MEDICAID 3174480

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