Individual
DR. ASSIA BROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2341
(201) 794-1963
(201) 794-8086
Mailing address
19-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2341
(201) 794-1963
(201) 794-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05086600
NJ
207RP1001X
Pulmonary Disease Physician
25MA05086600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5345901
—
NJ
Enumeration date
03/16/2006
Last updated
12/07/2017
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