Individual
DR. KENNETH BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6935
Mailing address
295 CLINTON ST, BROOKLYN, NY 11201-6159
(718) 625-3837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
127853
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
127853
NY
Other
Enumeration date
09/06/2005
Last updated
08/08/2013
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