| Nathalia Cristina Broderick, OD | |
|
288 Main St, Millburn, NJ 07041-1126 | |
| (862) 288-2020 | |
| (862) 208-2221 |
| Full Name | Nathalia Cristina Broderick |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 288 Main St, Millburn, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740631860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OM00142800 (New Jersey) | Secondary |
| 152W00000X | Optometrist | TUV008448-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407829856 PECOS PAC ID: 0840101770 Enrollment ID: O20040514000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathalia Cristina Broderick, OD 288 Main St, Millburn, NJ 07041-1126 Ph: (862) 288-2020 | Nathalia Cristina Broderick, OD 288 Main St, Millburn, NJ 07041-1126 Ph: (862) 288-2020 |
Dr. Heather Deeble, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 249 Main St, Millburn, NJ 07041 Phone: 973-467-2288 Fax: 973-467-1455 | |
Dr. Sari Rachel Schwartz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 Millburn Ave Ste 208b, Millburn, NJ 07041 Phone: 973-804-6565 Fax: 973-404-2204 | |
Brandon Garces, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 288 Millburn Ave, Millburn, NJ 07041 Phone: 973-912-9100 | |
Broderick Vision Care And Rehabilitation Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 288 Main St, Millburn, NJ 07041 Phone: 862-288-2020 | |
Vincent J Mcglone Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 249 Main St, Millburn, NJ 07041 Phone: 973-467-2288 Fax: 973-467-1455 |