Broder, Stanford R
Broder, Stanford R is an individual health care provider with primary practice located at 51-53 Kenosia Ave , Danbury CT 06810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Broder, Stanford R can be contacted via phone (203) 748-0330.Contact Information
Primary practice address
51-53 Kenosia Ave
Danbury CT 06810
Phone: (203) 748-0330
Fax: (203) 731-3273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 037497 | Connecticut |
Profile Details
| NPI number | 1316942519 |
|---|---|
| LBN Legal business name | Broder, Stanford R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 16th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316942519 | NPPES |
| Connecticut | MEDICAID | 001374975 |
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