Individual
DR. BRUCE BRODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 BELLEVUE AVE, TRENTON, NJ 08618-4502
(609) 815-7815
(609) 815-7814
Mailing address
PO BOX 8500-1611, PHILADELPHIA, PA 19178-0001
(609) 815-7829
(609) 815-7828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02217500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5179700
—
NJ
Enumeration date
05/19/2006
Last updated
11/17/2009
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