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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 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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