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Daniel J Broza, O.d., Pllc
Medical Specialty Clinic/Center in Newport News, Virginia
NPI 1730578212

Daniel J Broza, O.d., Pllc is a Medical Specialty Clinic/Center based in Williamsburg, VA and is specialized in Medical Specialty. Daniel J Broza, O.d., Pllc practices in Newport News, VA. The NPI Number for Daniel J Broza, O.d., Pllc is 1730578212 and holds a License No. 0618000779 (Virginia).

The current practice location address for Daniel J Broza, O.d., Pllc is 12121 Jefferson Ave, Newport News, VA and can be reached out via phone at 757-746-2014 and via fax at 757-746-2046.

Location: 12121 Jefferson Ave, Newport News, VA, 23188-2867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730578212
Provider Name
Daniel J Broza, O.d., Pllc
Credential
Provider Entity Type
Organization
Address
12121 Jefferson Ave, Newport News, VA, 23188-2867
Phone Number
757-746-2014
Fax Number
757-746-2046
Provider Enumeration Date
01/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00X764T01 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
12121 Jefferson Ave
City
Newport News
State
Virginia
Zip
23602-6916
Phone Number
757-746-2014
Fax Number
757-746-2046
person
Provider Business Mailing Address Details
Address
12121 Jefferson Ave
City
Newport News
State
Virginia
Zip
23602-6916
Phone Number
757-746-2014
Fax Number
757-746-2046
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
0618000779 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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