Active NPIIndividual providerSole proprietor

Broderick D Longo

Specialist/Technologist, Other, Art, Medical in Shrewsbury, New Jersey

NPI Number1750936704
Practice location
535 Sycamore Ave, Shrewsbury, NJ 07702-4224
Fax
—
Last updated
August 7, 2019

Broderick D Longo is a Specialist/Technologist, Other, Art, Medical based in Shrewsbury, NJ. Broderick D Longo practices in Shrewsbury, NJ. The NPI Number for Broderick D Longo is 1750936704. The current practice location address for Broderick D Longo is 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 and can be reached out via phone at 732-741-0970.

Provider Profile Details

NPI Number
1750936704
Provider Name
Broderick D Longo
Provider Entity Type
Individual
Gender
Male
Address
535 Sycamore Ave, Shrewsbury, NJ 07702-4224
Phone Number
732-741-0970
Primary Taxonomy
Specialist/Technologist, Other, Art, Medical · 246ZA2600X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2019
Last Update Date
August 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Zip
07702-4224
Phone Number
732-741-0970
Shrewsbury, NJ 07702Get directions →

Provider Business Mailing Address Details

Address
417 Driscol Dr
Brick, NJ 08724-2777
City
Brick
State
NJ
Zip
08724-2777
Phone Number
732-600-1203

License Information

Taxonomy
Specialist/Technologist, Other, Art, Medical · 246ZA2600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Broderick D Longo?

The NPI number of Broderick D Longo is 1750936704. It was assigned on August 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Broderick D Longo?

Broderick D Longo is registered under the primary taxonomy Specialist/Technologist, Other, Art, Medical (code 246ZA2600X).

Where does Broderick D Longo practice?

The practice location is 535 Sycamore Ave, Shrewsbury, NJ 07702-4224. The office can be reached at 732-741-0970 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750936704 directly on the NPPES registry website.

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