Dr. Jacob Raemer Brodsky
Pediatric Otolaryngology
300 Longwood Ave Lo-367
Boston
, Massachusetts 02115-5724
Dr. Jacob Raemer Brodsky
Pediatric Otolaryngology
300 Longwood Ave Lo-367
Boston
, Massachusetts 02115-5724
(781) 216-3155
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Jacob Raemer Brodsky
- 300 Longwood Ave Lo-367
- Boston, MA
- Zip : 02115-5724
- Fax : (781) 216-3155
- Phone : (781) 216-2849
Second Address
- Dr. Jacob Raemer Brodsky
- 300 Longwood Ave Lo-367
- Boston, MA
- Zip : 02115-5724
- Fax : (781) 216-3155
- Phone : (781) 216-2849
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 246346 | MA |
National Provider Identifier
| NPI | 1487819785 |
|---|---|
| Provider Name | Dr. Jacob Raemer Brodsky |
| First Address | Boston, MA 02115-5724 |
| Second Address | Boston, MA 02115-5724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2008 |
| Last Update Date | 01/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.