Individual
DR. STAFFORD R BROUMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
166718-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100923
GHI
NY
01
—
N37868
HEALTHNET
NY
01
—
P3806444
OXFORD
NY
Enumeration date
01/19/2007
Last updated
11/22/2011
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