David Louis Broadnax in Hackensack - Internal Medicine
David Louis Broadnax - NPI 1992969059
David Louis Broadnax is a Internal Medicine in Hackensack, New Jersey. David Louis Broadnax practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Louis Broadnax is 1992969059. The last update date is 2008-07-17.
David Louis Broadnax's current location address is 386 Second Street, Hackensack, New Jersey. You can contact this provider via phone number 2013421874 and fax number 2016704706. The mailing address for David Louis Broadnax is 386 Second Street, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Louis Broadnax |
|---|---|
| Address | 386 Second Street, Hackensack, New Jersey |
| Phone Number | 2013421874 |
| Fax Number | 2016704706 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992969059 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 386 Second Street |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 7601 |
| Phone Number | 2013421874 |
| Fax Number | 2016704706 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25MAO1838300 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3593401 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Louis Broadnax by the Centers for Medicare & Medicaid Services (CMS)?
The David Louis Broadnax has been assigned the NPI (National Provider Identifier) 1992969059. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the David Louis Broadnax's physical address?
The David Louis Broadnax is physically located at 386 Second Street, in the city of Hackensack, NJ, with the postal code 7601.
What is David Louis Broadnax's area of expertise and its corresponding taxonomy classification?
The David Louis Broadnax's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did David Louis Broadnax receive its 1992969059 assignment from the Centers for Medicare & Medicaid Services?
The David Louis Broadnax was assigned its 1992969059 on 2008-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David Louis Broadnax most recently updated or revised?
The information pertaining to David Louis Broadnax, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.