Doctor Name: | ADRIA JOAN BROFMAN |
NPI Number: | 1720232481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G80671 |
Business Practice Address: | 92 N. Madison Ave. Ste 1 Pasadena, CA - 91101 |
Business Phone Number: | 3102733736 |
Business Fax Number: | 3102716977 |
Mailing Address: | 92 N. Madison Ave., Ste 1 PASADENA |
State: | CA |
Postal Code: | 91101 |
Phone Number: | 3102733736 |
Fax Number: | 3102716977 |
NPI Enumeration Date: | 11/07/2008 |
NPI Last Update Date: | 11/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G80671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |