Ruth M Broderick, | |
1069 Ringwood Ave, Ste 211, Haskell, NJ 07420-1408 | |
(973) 467-7976 | |
(973) 467-7971 |
Full Name | Ruth M Broderick |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 1069 Ringwood Ave, Haskell, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194802678 | NPI | - | NPPES |
40QA00619500 | Other | NJ | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Occupational And Physical Therapy Pllc | 3779873401 | 442 |
Provider Name | Professional Occupational & Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
Mailing Address | Practice Location Address |
---|---|
Ruth M Broderick, 80 Oakwood Dr, Ringwood, NJ 07456-2024 Ph: () - | Ruth M Broderick, 1069 Ringwood Ave, Ste 211, Haskell, NJ 07420-1408 Ph: (973) 467-7976 |
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