BRODERICK D LONGO

SHREWSBURY, NJ
NPI1750936704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZA2600X Specialist/Technologist, Other, Art, Medical
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
BRODERICK D LONGO
535 SYCAMORE AVE
SHREWSBURY, NJ 07702-4224
Phone number: 732-741-0970
Mailing Address
BRODERICK D LONGO
417 DRISCOL DR
BRICK, NJ 08724-2777
Phone number: 732-600-1203