Provider Demographics
NPI:1750507448
Name:COMO, BRENDA JOYCE (RT COHC BAT)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:JOYCE
Last Name:COMO
Suffix:
Gender:F
Credentials:RT COHC BAT
Other - Prefix:
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Mailing Address - Street 1:5 NEWBURY LN
Mailing Address - Street 2:
Mailing Address - City:EASTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-4352
Mailing Address - Country:US
Mailing Address - Phone:609-261-4879
Mailing Address - Fax:
Practice Address - Street 1:MCCOSH HEALTH CTR
Practice Address - Street 2:WASHINGTON RD.
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-6210
Practice Address - Fax:609-258-4174
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6039102471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography