Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD432689 | PA |
NPI | 1467623025 |
---|---|
Provider Name | Marc E Brozovich |
First Address | Pittsburgh, PA 15237-5818 |
Second Address | Pittsburgh, PA 15237-5818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2008 |
Last Update Date | 18/07/2008 |