Provider Demographics
NPI:1982246468
Name:BRONDER, CRISTINA (ND, LMT)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:BRONDER
Suffix:
Gender:F
Credentials:ND, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 PULLMAN RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:NH
Mailing Address - Zip Code:03048-4639
Mailing Address - Country:US
Mailing Address - Phone:603-440-5153
Mailing Address - Fax:
Practice Address - Street 1:156 PULLMAN RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:NH
Practice Address - Zip Code:03048-4639
Practice Address - Country:US
Practice Address - Phone:603-440-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP799175F00000X
OR24894225700000X
NH0080175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist