Individual
CORY JULIAN BROEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-4750
(315) 464-7130
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD2014-0934
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
316967
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
58727
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2014-0934
NM
Other
Enumeration date
04/11/2011
Last updated
08/15/2022
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