Marlene Katherine Brodka in Bridgeport - Medical
Marlene Katherine Brodka - NPI 1528242179
Marlene Katherine Brodka is a Medical in Bridgeport, Connecticut. Marlene Katherine Brodka practices all healthcare services and medical treatments related to Medical. The NPI Number for Marlene Katherine Brodka is 1528242179. The last update date is 2022-05-23.
Marlene Katherine Brodka's current location address is 2800 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 4752106080. The mailing address for Marlene Katherine Brodka is 2800 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Katherine Brodka |
|---|---|
| Address | 2800 Main St, Bridgeport, Connecticut |
| Phone Number | 4752106080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1528242179 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2022-05-23 |
Provider Mailing Address Detail
| Address | 2800 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66064201 |
| Phone Number | 4752106080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2037 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Marlene Katherine Brodka's unique identification number?
The Marlene Katherine Brodka has been assigned the NPI (National Provider Identifier) Number 1528242179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Marlene Katherine Brodka is located?
The Marlene Katherine Brodka is situated at the following address: 2800 Main St, Bridgeport, CT, 66064201.
What is the Marlene Katherine Brodka's area of specialization and corresponding taxonomy classification?
The Marlene Katherine Brodka's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did Marlene Katherine Brodka receive its 1528242179 assignment from the Centers for Medicare & Medicaid Services?
The Marlene Katherine Brodka was assigned its 1528242179 on 2007-12-18, 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 Marlene Katherine Brodka most recently updated or revised?
The details related to Marlene Katherine Brodka, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-23.
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