Brodsky, Irwin G

Brodsky, Irwin G is an individual health care provider with primary practice located at 175 Us Route 1 , Scarborough ME 04074-9048. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Brodsky, Irwin G can be contacted via phone (207) 396-7700.

Contact Information

Primary practice address
175 Us Route 1 Scarborough ME 04074-9048
Phone: (207) 396-7700
Fax: (207) 396-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15924 Maine
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD15924 Maine

Profile Details

NPI number 1326070905
LBN Legal business name Brodsky, Irwin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 27th, 2017 - about 8 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 1326070905 NPPES
New Hampshire MEDICAID 30208396
New Hampshire MEDICAID 323170099

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