Brodsky, Gregg

Brodsky, Gregg is an individual health care provider with primary practice located at 55 Highland Ave Ste. 304, Salem MA 01970-2185. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Brodsky, Gregg can be contacted via phone (978) 741-4171.

Contact Information

Primary practice address
55 Highland Ave Ste. 304 Salem MA 01970-2185
Phone: (978) 741-4171
Fax: (978) 741-4283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 222861 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 222861 Massachusetts

Profile Details

NPI number 1750375119
LBN Legal business name Brodsky, Gregg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Apr 14th, 2009 - about 17 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 1750375119 NPPES
Massachusetts MEDICAID 2104369

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