Individual
CONSTANTINE P BROCOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 1/2 BEACON ST, CONCORD, NH 03301-4447
(603) 228-1521
(603) 225-2510
Mailing address
2 1/2 BEACON ST, CONCORD, NH 03301-4447
(603) 228-1521
(603) 225-2510
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9614
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009599
—
NH
Enumeration date
02/10/2006
Last updated
09/26/2008
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