Individual
MICHAEL B BROSCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 W 57TH ST, NEW YORK, NY 10019-2929
(212) 314-8698
(212) 485-0777
Mailing address
521 W 57TH ST, NEW YORK, NY 10019-2929
(212) 314-8698
(212) 485-0777
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
241317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014957900003
—
PA
01
—
531788
BS
PA
Enumeration date
04/06/2006
Last updated
09/10/2007
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