Provider Demographics
NPI:1992777494
Name:BRODKIN, ABBY SUE (DO)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:SUE
Last Name:BRODKIN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2705 DEKALB PIKE
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1852
Mailing Address - Country:US
Mailing Address - Phone:610-277-2025
Mailing Address - Fax:610-277-1273
Practice Address - Street 1:2705 DEKALB PIKE
Practice Address - Street 2:SUITE 202A
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1852
Practice Address - Country:US
Practice Address - Phone:610-277-2025
Practice Address - Fax:610-277-1273
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005102L207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery