Individual
NECHAMA BRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7389
Mailing address
1518 LONG BEACH AVE, LAKEWOOD, NJ 08701-3855
(732) 901-1537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00192300
NJ
Other
Enumeration date
02/15/2008
Last updated
04/23/2013
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