Broz, Gwen Marie

Broz, Gwen Marie is an individual health care provider with primary practice located at 46 N Main St , W Brookfield MA 01585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broz, Gwen Marie can be contacted via phone (508) 867-8977.

Contact Information

Primary practice address
46 N Main St W Brookfield MA 01585
Fax: (508) 867-7361
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 73319 Massachusetts

Profile Details

NPI number 1013091669
LBN Legal business name Broz, Gwen Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013091669 NPPES
Massachusetts MEDICAID 9787364

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