Daniel J Broza, O.d., Pllc
Specialty details in registry · Newport News, VA
At a glance
12121 Jefferson Ave, Newport News, VA 23602-6916
NPPES record updated Jan 21, 2015. Public records can lag behind changes at a practice.
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Practice location
12121 Jefferson AveNewport News, VA 23602-6916
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM2500X
- Enumeration date
- Jan 21, 2015
- Record updated
- Jan 21, 2015
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM2500X · Primary
License reported: 0618000779 VA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
12121 Jefferson AveNewport News, VA 23602-6916
- Phone
- (757) 746-2014
- Fax
- (757) 746-2046
Mailing address
5312 FOUNDATION STWILLIAMSBURG, VA 231882867
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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