Broniscer, Alberto

Broniscer, Alberto is an individual health care provider with primary practice located at 262 Danny Thomas Place, Ms 0515 St. Jude Children'S Research Hospital, Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Broniscer, Alberto can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Place, Ms 0515 St. Jude Children'S Research Hospital Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 36398 Tennessee

Profile Details

NPI number 1184627382
LBN Legal business name Broniscer, Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184627382 NPPES
Alabama MEDICAID 009905345
Alabama MEDICAID 563072
Alabama MEDICAID 360488800
Alabama MEDICAID 64056849
Alabama MEDICAID 2524085
Alabama MEDICAID 0071961
Alabama MEDICAID 200400610A
Alabama MEDICAID 00126518
Alabama MEDICAID 0030341
Alabama MEDICAID 205951007
Alabama MEDICAID 200336060A
Alabama MEDICAID 3496709
Alabama MEDICAID 104677849
Alabama MEDICAID 1136395
Alabama MEDICAID 804030
Alabama MEDICAID 100847840A
Alabama MEDICAID 186358377A
Alabama MEDICAID 422400000

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