Provider Demographics
NPI:1760484075
Name:DAVID B. BROZYNA M.D.,P.A.
Entity Type:Organization
Organization Name:DAVID B. BROZYNA M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:BROZYNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-939-5500
Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-0705
Mailing Address - Country:US
Mailing Address - Phone:201-939-5500
Mailing Address - Fax:201-939-1599
Practice Address - Street 1:85 ORIENT WAY 3RD FL
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2070
Practice Address - Country:US
Practice Address - Phone:201-939-5500
Practice Address - Fax:201-939-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0578322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty