Individual
DR. GORAN BROKETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
(603) 629-3217
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
(603) 629-3217
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD060211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018385800001
—
PA
05
—
02148570
—
NY
01
—
830007394
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039777
MEDICARE GROUP
PA
01
—
GU039841
MEDICARE GROUP
PA
Enumeration date
06/16/2006
Last updated
11/12/2010
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