Julie Broderick Green in Bridgeport - Clinical
Julie Broderick Green - NPI 1386702637
Julie Broderick Green is a Clinical in Bridgeport, Connecticut. Julie Broderick Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Broderick Green is 1386702637. The last update date is 2007-07-08.
Julie Broderick Green's current location address is 1635 Central Avenue Room 214, Bridgeport, Connecticut. You can contact this provider via phone number 2035517660 and fax number 2035517481. The mailing address for Julie Broderick Green is 1635 Central Avenue Room 214, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Broderick Green |
|---|---|
| Address | 1635 Central Avenue Room 214, Bridgeport, Connecticut |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
| Sole Proprietor | N |
| Credentials | LCSW MFT M |
NPI Number Detail
| NPI Number | 1386702637 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1635 Central Avenue Room 214 |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 6610 |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4824 |
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What is the unique identifier code issued to Julie Broderick Green by the Centers for Medicare & Medicaid Services?
The Julie Broderick Green has been assigned the NPI (National Provider Identifier) 1386702637. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Julie Broderick Green located?
The Julie Broderick Green is located at 1635 Central Avenue Room 214, Bridgeport, CT 6610.
What is the Julie Broderick Green's specialty and taxonomy code?
The Julie Broderick Green's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386702637 to Julie Broderick Green?
The Centers for Medicare & Medicaid Services assigned the 1386702637 to Julie Broderick Green on 2006-12-05.
As of what date were the Julie Broderick Green's details last updated?
The information pertaining to the Julie Broderick Green, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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