Dr. Crystal N Broussard, MD
Internal Medicine, Gastroenterology in Emerson, New Jersey
1114955846- Practice location
- 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396
- Phone
- 201-967-8221
- Fax
- 201-634-9647
- Last updated
- July 8, 2007
Crystal N Broussard is an Internal Medicine, Gastroenterology based in Emerson, NJ. Crystal N Broussard practices in Emerson, NJ and has the professional credentials of MD. The NPI Number for Crystal N Broussard is 1114955846 and holds a License No. 69764 (NJ). The current practice location address for Crystal N Broussard is 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396 and can be reached out via phone at 201-967-8221 and via fax at 201-634-9647.
Provider Profile Details
- NPI Number
- 1114955846
- Provider Name
- Crystal N Broussard
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 466 Old Hook RD
Suite 1
Emerson, NJ 07630-1396 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1396
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
Provider Business Mailing Address Details
- Address
- 26 Lincoln Ave
West Orange, NJ 07052-2312 - City
- West Orange
- State
- NJ
- Zip
- 07052-2312
- Phone Number
- 973-762-4466
License Information
- License Number
- 69764
- License State
- NJ
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near Emerson, NJ
View all Internal Medicine, Gastroenterology providers in Emerson →- Alyse R Bellomo, MDInternal Medicine, Gastroenterology · NPI 1700890837
- Bergen Gastroenterology PCInternal Medicine, Gastroenterology · NPI 1972531523
- Bhavik M Bhandari, MDInternal Medicine, Gastroenterology · NPI 1679763890
- Dr. Anthony R Delillo, MDInternal Medicine, Gastroenterology · NPI 1356372536
- Dr. David Goldstein, MDInternal Medicine, Gastroenterology · NPI 1063453348
- Dr. Eric S Avezzano, MDInternal Medicine, Gastroenterology · NPI 1578591814
Frequently Asked Questions
What is the NPI number of Dr. Crystal N Broussard, MD?
The NPI number of Dr. Crystal N Broussard, MD is 1114955846. It was assigned on June 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Crystal N Broussard, MD?
Dr. Crystal N Broussard, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 69764.
Where does Dr. Crystal N Broussard, MD practice?
The practice location is 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396. The office can be reached at 201-967-8221 (phone) or 201-634-9647 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114955846 directly on the NPPES registry website.