Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODERICK D LONGO
Active Sole ProprietorBRODERICK D LONGO is a Anesthesiologist Assistant healthcare provider located in SHREWSBURY, New Jersey. NPI 1750936704 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · SHREWSBURY, NJ
Registration Details
- NPI Number
- 1750936704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2019 (7.046422537413 yrs)
- Last Updated
- Aug 7, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
535 SYCAMORE AVESHREWSBURY, NJ, 077024224Browse NJ providers · Browse ZIP 07702
- Phone
- 7327410970
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.