Individual
JEFFREY T. BRODSKY
Active
Individual
JEFFREY T. BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD043314L
PA
2086X0206X
Surgical Oncology Physician
Primary
MD043314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001244181
—
PA
05
—
0012441810012
—
PA
05
—
0012441810013
—
PA
05
—
0012441810014
—
PA
01
—
0506425000
KEYSTONE IBC
PA
01
—
4208659
AETNA
PA
01
—
673140
HIGHMARK BLUE SHIELD
PA
01
—
P00251847
RAILROAD MEDICARE
PA
Enumeration date
11/23/2005
Last updated
11/27/2015
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