Individual
DR. CRYSTAL N BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
466 OLD HOOK RD, SUITE 1, EMERSON, NJ 07630-1396
(201) 967-8221
(201) 634-9647
Mailing address
26 LINCOLN AVE, WEST ORANGE, NJ 07052-2312
(973) 762-4466
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
69764
NJ
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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