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Individual

MARTIN H BROKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3131 KINGS HWY, SUITE A-4, BROOKLYN, NY 11234-2644
(718) 758-1500
(718) 758-2400
Mailing address
10 EXCHANGE PL, 14TH FLOOR WSBS, JERSEY CITY, NJ 07302-3918
(201) 830-3122
(201) 200-0838

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
152514
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01049793
NY
Enumeration date
05/30/2006
Last updated
10/26/2007
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