Dr. Goran Broketa
Hematology & Oncology
718 Smyth Rd
Manchester
, New Hampshire 03104-7007
Dr. Goran Broketa
Hematology & Oncology
718 Smyth Rd
Manchester
, New Hampshire 03104-7007
(603) 629-3217
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Goran Broketa
- 718 Smyth Rd
- Manchester, NH
- Zip : 03104-7007
- Fax : (603) 629-3217
- Phone : (603) 624-4366
Second Address
- Dr. Goran Broketa
- 718 Smyth Rd
- Manchester, NH
- Zip : 03104-7007
- Fax : (603) 629-3217
- Phone : (603) 624-4366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | MD060211L | PA |
National Provider Identifier
| NPI | 1033153374 |
|---|---|
| Provider Name | Dr. Goran Broketa |
| First Address | Manchester, NH 03104-7007 |
| Second Address | Manchester, NH 03104-7007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 12/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018385800001 | (05) | PA |
| 02148570 | (05) | NY |
| 830007394 | RR MEDICARE PIN (01) | PA |
| CC9269 | RR MEDICARE GROUP (01) | PA |
| GU039777 | MEDICARE GROUP (01) | PA |
| GU039841 | MEDICARE GROUP (01) | PA |
| H34869 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.