Individual
STEVEN J. BRODHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
697 WASHINGTON ST, NEWTON, MA 02458-1260
(617) 527-1418
(617) 964-1417
Mailing address
697 WASHINGTON ST, NEWTON, MA 02458-1260
(617) 527-1418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354449
—
MA
Enumeration date
01/02/2007
Last updated
09/09/2008
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