Brodkin, Bruce
Brodkin, Bruce is an individual health care provider with primary practice located at 446 Bellevue Ave , Trenton NJ 08618-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brodkin, Bruce can be contacted via phone (609) 815-7815.Contact Information
Primary practice address
446 Bellevue Ave
Trenton NJ 08618-4502
Phone: (609) 815-7815
Fax: (609) 815-7814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA02217500 | New Jersey |
Profile Details
| NPI number | 1134173743 |
|---|---|
| LBN Legal business name | Brodkin, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Nov 17th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134173743 | NPPES |
| New Jersey | MEDICAID | 5179700 |
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