Broccoli, Anthony C

Broccoli, Anthony C is an individual health care provider with primary practice located at 15 Central St , Andover MA 01810. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Broccoli, Anthony C can be contacted via phone (978) 475-0450.

Contact Information

Primary practice address
15 Central St Andover MA 01810
Phone: (978) 475-0450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 16891 Massachusetts

Profile Details

NPI number 1114149184
LBN Legal business name Broccoli, Anthony C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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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