MR. William George Broadhurst, PAC

NPI #1740277797 in Brookfield, Connecticut

Provider Information

NPI Number
1740277797
Entity Type
Individual
Name
MR. William George Broadhurst, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Oct 4, 2005
Last Updated
Oct 28, 2010

Practice Location

Address
60 OLD NEW MILFORD RD
Address 2
SUITE 3E
ZIP Code
06804-2430
Phone
(203) 775-6205

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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