Organization
I. BRODSKY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM DISTASIO (PRACTICE MANAGER)
(215) 762-7025
Entity
Organization
Contact information
Practice address
230 N BROAD ST, MS 412, PHILADELPHIA, PA 19102-1121
(215) 762-7026
Mailing address
230 N BROAD ST, MS 412, PHILADELPHIA, PA 19102-1121
(215) 762-7026
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
04/24/2012
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