Brodsky, Jeffrey T.
Brodsky, Jeffrey T. is an individual health care provider with primary practice located at 1240 S Cedar Crest Blvd Suite 205, Allentown PA 18103-6369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Brodsky, Jeffrey T. can be contacted via phone (610) 402-7884.Contact Information
Primary practice address
1240 S Cedar Crest Blvd Suite 205
Allentown PA 18103-6369
Phone: (610) 402-7884
Fax: (610) 402-8876
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD043314L | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | MD043314L | Pennsylvania |
Profile Details
NPI number | 1518940402 |
---|---|
LBN Legal business name | Brodsky, Jeffrey T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2005 |
Last updated | Nov 27th, 2015 - about 9 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 | 1518940402 | NPPES |
Pennsylvania | MEDICAID | 0012441810012 | |
Pennsylvania | MEDICAID | 0012441810013 | |
Pennsylvania | MEDICAID | 0012441810014 | |
Pennsylvania | Other | 673140 | |
Pennsylvania | Other | 0506425000 | |
Pennsylvania | Other | P00251847 | |
Pennsylvania | MEDICAID | 001244181 | |
Pennsylvania | Other | 4208659 | |
Pennsylvania | Other | 673140 |
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