Brett Broussard
NPI #1215383682 in Teaneck, New Jersey
Provider Information
- NPI Number
- 1215383682
- Entity Type
- Individual
- Name
- Brett Broussard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- May 4, 2016
- Last Updated
- May 4, 2016
Practice Location
- Address
- 1086 TEANECK RD
- Address 2
- STE 4A
- City
- Teaneck
- State
- New Jersey
- ZIP Code
- 07666-4854
- Phone
- (201) 862-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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