Individual
DR. ALEXANDER S BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 VARNUM AVE, LOWELL GENERAL HOSPITAL, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
10 DANIELS DR, BEDFORD, MA 01730-1202
(781) 538-5877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101057869
VA
207P00000X
Emergency Medicine Physician
Primary
216298
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102412
—
MA
01
—
J29626
BLUE SHIELD
MA
Enumeration date
08/02/2006
Last updated
05/23/2008
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