John P Broach II, MD
Emergency Medicine in Worcester, Massachusetts
1629127477- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-421-1400
- Fax
- 508-421-1490
- Last updated
- November 9, 2020
John P. Broach is an Emergency Medicine based in Worcester, MA. John P. Broach practices in Worcester, MA and has the professional credentials of MD. The NPI Number for John P. Broach is 1629127477 and holds a License No. 241404 (MA). The current practice location address for John P. Broach is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.
Provider Profile Details
- NPI Number
- 1629127477
- Provider Name
- John P. Broach
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2007
- Last Update Date
- November 9, 2020
- Certification Date
- November 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
License Information
- License Number (1)
- 241404
- License State (1)
- MA
- Taxonomy (1)
- Emergency Medicine, Emergency Medical Services · 207PE0004X
- License Number (2)
- 241404
- License State (2)
- MA
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John P Broach II, MD?
The NPI number of John P Broach II, MD is 1629127477. It was assigned on January 10, 2007 and is currently active in the NPPES registry.
What is the specialty of John P Broach II, MD?
John P Broach II, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 241404.
Where does John P Broach II, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (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 1629127477 directly on the NPPES registry website.