Broza, David J

Broza, David J is an individual health care provider with primary practice located at 3461 S County Trl , East Greenwich RI 02818-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Broza, David J can be contacted via phone (401) 471-6440.

Contact Information

Primary practice address
3461 S County Trl East Greenwich RI 02818-1465
Phone: (401) 471-6440
Fax: (401) 889-5082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD08967 Rhode Island

Profile Details

NPI number 1083652408
LBN Legal business name Broza, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 8th, 2023 - about last year

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 1083652408 NPPES
Rhode Island Other 050445136 TAX ID
Rhode Island MEDICAID 7005010 TAX ID

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