DAVID LOUIS BROADNAX

HACKENSACK, NJ
NPI1992969059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MAO1838300)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
-- DAVID LOUIS BROADNAX MD
386 SECOND STREET
HACKENSACK, NJ 07601
Phone number: 201-342-1874
Mailing Address
-- DAVID LOUIS BROADNAX MD
386 SECOND STREET
HACKENSACK, NJ 07601
Phone number: 201-342-1874