Vadjista Broumand, MD

NPI #1376537308 in Fayetteville, New York

Provider Information

NPI Number: 1376537308
Entity Type: Individual
Name: Vadjista Broumand, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 6, 2005
Last Updated: Dec 10, 2014

Practice Location

Address: 4110 MEDICAL CENTER DR
Address 2: SUITE 110
City: Fayetteville
State: New York
ZIP Code: 13066
Phone: (315) 663-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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