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1114955846
CRYSTAL N BROUSSARD
EMERSON, NJ
NPI
1114955846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NJ 69764)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
Dr. CRYSTAL N BROUSSARD MD
466 OLD HOOK RD SUITE 1
EMERSON, NJ 07630-1396
Phone number: 201-967-8221
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Mailing Address
Dr. CRYSTAL N BROUSSARD MD
26 LINCOLN AVE
WEST ORANGE, NJ 07052-2312
Phone number: 973-762-4466
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