John P. Broach in Worcester - Emergency Medicine

John P. Broach - NPI 1629127477

John P. Broach is a Emergency Medicine in Worcester, Massachusetts. John P. Broach practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for John P. Broach is 1629127477. The last update date is 2020-11-09.

John P. Broach's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5084211400 and fax number 5084211490. The mailing address for John P. Broach is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John P. Broach
Address 55 Lake Ave N, Worcester, Massachusetts
Phone Number 5084211400
Fax Number 5084211490
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629127477
Provider Enumeration Date 2007-01-10
Last Updated Date 2020-11-09

Provider Mailing Address Detail

Address 55 Lake Ave N
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5084211400
Fax Number 5084211490

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 241404
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110083615A MA --

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FAQs about John P. Broach

What is the unique 10-digit identifier code issued to John P. Broach by the Centers for Medicare & Medicaid Services?

The John P. Broach has been assigned the NPI (National Provider Identifier) 1629127477 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where John P. Broach is located?

The John P. Broach is situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.

What is John P. Broach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John P. Broach's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did John P. Broach receive its 1629127477 assignment from the Centers for Medicare & Medicaid Services?

The John P. Broach was assigned its 1629127477 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding John P. Broach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John P. Broach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-09.

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