Dr. Jeffery Wayne Van Den Broek
Gastroenterologist
10710 Charter Dr Suite 110
Columbia
, Maryland 21044-3128
Dr. Jeffery Wayne Van Den Broek
Gastroenterologist
10710 Charter Dr Suite 110
Columbia
, Maryland 21044-3128
(410) 730-0942
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Jeffery Wayne Van Den Broek
- 10710 Charter Dr Suite 110
- Columbia, MD
- Zip : 21044-3128
- Fax : (410) 730-0942
- Phone : (410) 992-9797
Second Address
- Dr. Jeffery Wayne Van Den Broek
- 10710 Charter Dr Suite 110
- Columbia, MD
- Zip : 21044-3128
- Fax : (410) 730-0942
- Phone : (410) 992-9797
Reviews
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Is Dr. Jeffery Wayne Van Den Broek a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | DOS-945 | HI |
| Y | 207RG0100X | Gastroenterologist | H0075616 | MD |
National Provider Identifier
| NPI | 1033180187 |
|---|---|
| Provider Name | Dr. Jeffery Wayne Van Den Broek |
| First Address | Columbia, MD 21044-3128 |
| Second Address | Columbia, MD 21044-3128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 19/08/2013 |
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.