Broderson, Alan

Broderson, Alan is an individual health care provider with primary practice located at 136 Summit St , Englewood NJ 07631-4728. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Broderson, Alan can be contacted via phone (201) 921-4276.

Contact Information

Primary practice address
136 Summit St Englewood NJ 07631-4728
Phone: (201) 921-4276
Fax: (201) 568-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 025168 New York

Profile Details

NPI number 1992846182
LBN Legal business name Broderson, Alan
Credentials REG PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992846182 NPPES
New York Other 025168 LICENCE

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