Peter J Broccoli is a student in an organized health care education training program in Richmond, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Peter J Broccoli NPI is 1356921142. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
VCUHS DEPT OF OMFS RESIDENCY, 980566
1250 E. MARSHALL ST
RICHMOND, VA
ZIP 23298-566
Phone: (804) 828-9000
The NPI 1356921142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/14/2021 and was last updated on 4/14/2021.