NPI 1215383682

Brett Broussard

Practitioner Electroneurodiagnostic Specialist/Technologist Teaneck, NJ

Practice location

Address: 1086 Teaneck Rd STE 4a, Teaneck, NJ 07666-4854
Phone: (201) 862-9900

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in New Jersey →

Registry record

NPI: 1215383682
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2016
Record last updated: 4 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.