Susan J Broderman in Furlong - Internal Medicine
Susan J Broderman - NPI 1649245689
Susan J Broderman is a Internal Medicine in Furlong, Pennsylvania. Susan J Broderman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Susan J Broderman is 1649245689. The last update date is 2015-01-21.
Susan J Broderman's current location address is 2325 Heritage Drive Suite 116, Furlong, Pennsylvania. You can contact this provider via phone number 2157942462 and fax number 2157948496. The mailing address for Susan J Broderman is 2325 Heritage Drive Suite 116, Furlong, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Broderman |
|---|---|
| Address | 2325 Heritage Drive Suite 116, Furlong, Pennsylvania |
| Phone Number | 2157942462 |
| Fax Number | 2157948496 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649245689 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 2325 Heritage Drive Suite 116 |
|---|---|
| City | Furlong |
| State | Pennsylvania (PA) |
| Post Code | 18925 |
| Phone Number | 2157942462 |
| Fax Number | 2157948496 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD034641E |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1435061 | PA | BLUE SHIELD | |
| 7302 | AETNA PPO MANAGED CARE | ||
| 21198960001 | KEYSTONE HEALTH EAST 65 | ||
| 21198960001 | KEYSTONE LIAISON | ||
| 2119896001 | AMERIHEALTH HMO | ||
| 16680780002 | PA | -- | |
| 110243168 | MULTIPLAN | ||
| 2119896001 | AMERIHEALTH ADMINISTRATOR | ||
| 1435061 | PERSONAL CHOICE | ||
| 21198960001 | KEYSTONE HEALTH PLAN EAST |
Post Comment/ Review Below
What is the Susan J Broderman's 1649245689?
The Susan J Broderman's NPI (National Provider Identifier) Number is 1649245689. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan J Broderman?
The Susan J Broderman is physically situated at 2325 Heritage Drive Suite 116, in the city of Furlong, state of PA, with the postal code 18925.
What is Susan J Broderman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan J Broderman's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649245689 to Susan J Broderman?
The Centers for Medicare & Medicaid Services assigned the 1649245689 to Susan J Broderman on 2006-02-22.
As of what date was the information pertaining to Susan J Broderman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan J Broderman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-21.