Individual
DR. ABRAHAM E BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2440 FENTON ST., STE. 100, CHULA VISTA, CA 91914
(619) 656-3040
(619) 656-3045
Mailing address
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123
(858) 636-4300
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A71609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71609
MD LICENSE
CA
Enumeration date
01/28/2006
Last updated
01/28/2011
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