IndividualActive
Jeffery Broffman, M.D.
NPI 1659543247 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Santa Rosa, CA
Provider details
- NPI number
- 1659543247
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G53420 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense G53420 (CA)
Allopathic & Osteopathic Physicians
Practice location
1144 Sonoma Ave
Suite 101
Santa Rosa, CA 95405-4812
Phone: (707) 526-7920
Fax: (707) 546-5334
Approximate (ZIP-level) locationGet directions
Mailing address
1144 Sonoma Ave
Santa Rosa, CA 95405-4812
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.