NPI 1083877492 MR. EDWARD BRODERICK OPT. ENFIELD CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Edward Broderick - NPI: 1083877492

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. EDWARD BRODERICK
NPI Number: 1083877492
Entity Type Code: Individual (1)
Gender: M
Credentials: OPT.
License Number: CT0648
Business Practice Address: 77 Hazard Ave
Enfield, CT - 060823890
Business Phone Number: 8507454426
Business Fax Number:
Mailing Address: 77 Hazard Ave,
ENFIELD
State: CT
Postal Code: 060823890
Phone Number: 8607454426
Fax Number:
NPI Enumeration Date: 07/07/2008
NPI Last Update Date: 07/07/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 156FX1800X
License Number: CT0648
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Eye and Vision Services Providers
Taxonomy Classification: Technician/Technologist
Taxonomy Specialization: Optician
Taxonomy Definition:


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