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1992969059
DAVID LOUIS BROADNAX
HACKENSACK, NJ
NPI
1992969059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MAO1838300)
Enumeration Date
2008-07-17
Last Update Date
2008-07-17
Business Address
-- DAVID LOUIS BROADNAX MD
386 SECOND STREET
HACKENSACK, NJ 07601
Phone number: 201-342-1874
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Mailing Address
-- DAVID LOUIS BROADNAX MD
386 SECOND STREET
HACKENSACK, NJ 07601
Phone number: 201-342-1874
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