Provider Demographics
NPI:1558982611
Name:BRODIE, ERIN (RRT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:BRODIE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DARABANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:45 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2807
Mailing Address - Country:US
Mailing Address - Phone:908-432-2007
Mailing Address - Fax:
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4604
Practice Address - Country:US
Practice Address - Phone:908-432-2007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00578800227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered