Alan Broderson is a Pharmacist in Englewood, New Jersey. Alan Broderson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Alan Broderson is 1992846182. The last update date is 2007-07-08.
Alan Broderson's current location address is 136 Summit St, Englewood, New Jersey. You can contact this provider via phone number 2019214276 and fax number 2015682469. The mailing address for Alan Broderson is 136 Summit St, Englewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Broderson |
|---|---|
| Address | 136 Summit St, Englewood, New Jersey |
| Phone Number | 2019214276 |
| Fax Number | 2015682469 |
| Sole Proprietor | N |
| Credentials | REG PHARMA |
NPI Number Detail
| NPI Number | 1992846182 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 136 Summit St |
|---|---|
| City | Englewood |
| State | New Jersey (NJ) |
| Post Code | 76314728 |
| Phone Number | 2019214276 |
| Fax Number | 2015682469 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 25168 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25168 | NY | LICENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Alan Broderson by the Centers for Medicare & Medicaid Services (CMS)?
The Alan Broderson has been assigned the NPI (National Provider Identifier) 1992846182. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Alan Broderson is physically located?
The Alan Broderson is physically situated at the following address: 136 Summit St, Englewood, NJ, 76314728.
What is Alan Broderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alan Broderson is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did Alan Broderson receive its 1992846182 assignment from the Centers for Medicare & Medicaid Services?
The Alan Broderson was assigned its 1992846182 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Alan Broderson most recently updated or revised?
The details related to Alan Broderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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