Crystal N Broussard in West Orange - Gastroenterology
Crystal N Broussard - NPI 1114955846
Crystal N Broussard is a Gastroenterology in West Orange, New Jersey. Crystal N Broussard practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Crystal N Broussard is 1114955846. The last update date is 2007-07-08.
Crystal N Broussard's current location address is 26 Lincoln Ave, West Orange, New Jersey. You can contact this provider via phone number 9737624466. The mailing address for Crystal N Broussard is 26 Lincoln Ave, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal N Broussard |
|---|---|
| Address | 26 Lincoln Ave, West Orange, New Jersey |
| Phone Number | 9737624466 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114955846 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 Lincoln Ave |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 70522312 |
| Phone Number | 9737624466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 69764 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Post Comment/ Review Below
What is the Crystal N Broussard's 1114955846?
The Crystal N Broussard's NPI (National Provider Identifier) Number is 1114955846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Crystal N Broussard?
The Crystal N Broussard is physically situated at 26 Lincoln Ave, in the city of West Orange, state of NJ, with the postal code 70522312.
What is Crystal N Broussard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal N Broussard is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114955846 to Crystal N Broussard?
The Crystal N Broussard received its 1114955846 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date was the information pertaining to Crystal N Broussard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crystal N Broussard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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