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Individual

JOHN J BROSNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
319 SOUTH MANNING BLVD, SUITE 201, ALBANY, NY 12208-1743
(518) 489-3296
(518) 489-4663
Mailing address
PO BOX 8915, ALBANY, NY 12208-0915
(518) 489-3296
(518) 489-4663

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
160632
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
152484
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00998696
NY
Enumeration date
08/31/2005
Last updated
12/17/2010
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