Individual
CANDACE MARIE BROUSSARD-STEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 HANCOCK ST STE 505S, QUINCY, MA 02169-4339
(781) 253-7165
(781) 253-7166
Mailing address
1250 HANCOCK ST STE 505S, QUINCY, MA 02169-4339
(781) 253-7165
(781) 253-7166
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01084188A
IN
207N00000X
Dermatology Physician
Primary
1017761
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201369530
—
IN
Enumeration date
05/26/2016
Last updated
03/13/2024
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