Individual
DR. JAMES B BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF FAMILY PRACTICE, WORCESTER, MA 01605-2903
(508) 334-6152
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51422
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
51422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6190685
—
MA
Enumeration date
11/23/2005
Last updated
05/23/2024
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