Broz, Gwen Marie
Broz, Gwen Marie is an individual health care provider with primary practice located at 46 N Main St , W Brookfield MA 01585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broz, Gwen Marie can be contacted via phone (508) 867-8977.Contact Information
Primary practice address
46 N Main St
W Brookfield MA 01585
Phone: (508) 867-8977
Fax: (508) 867-7361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 73319 | Massachusetts |
Profile Details
| NPI number | 1013091669 |
|---|---|
| LBN Legal business name | Broz, Gwen Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013091669 | NPPES |
| Massachusetts | MEDICAID | 9787364 |
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