Individual
DR. BROCK JOHN DEBENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 W 59TH ST, APT 04E, NEW YORK, NY 10019-1047
(718) 663-1872
Mailing address
515 W 59TH ST, APT 04E, NEW YORK, NY 10019-1047
(718) 663-1872
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
P84873
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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