Organization
DR JEFF BROFFMAN A MEDICAL CORP
Active
Other names
Jeffery Broffman MD
Organization subpart
No
Provider details
NPI number
Authorized official
NENA KNIGHT (OFFICE MANAGER)
(707) 526-7920
Entity
Organization
Contact information
Practice address
1144 SONOMA AVE, #101, SANTA ROSA, CA 95405
(707) 526-7920
(707) 526-0459
Mailing address
1144 SONOMA AVE, #101, SANTA ROSA, CA 95405
(707) 526-7920
(707) 526-0459
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G53420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G534200
—
CA
Enumeration date
11/21/2006
Last updated
07/25/2008
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