Provider Demographics
NPI:1295888519
Name:BRODNEY, SUZANNE (PHD, RDN)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:BRODNEY
Suffix:
Gender:F
Credentials:PHD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 SOLDIERS FIELD RD #1167
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1111
Mailing Address - Country:US
Mailing Address - Phone:617-763-6331
Mailing Address - Fax:
Practice Address - Street 1:1660 SOLDIERS FIELD RD #1167
Practice Address - Street 2:SUITE 7
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1108
Practice Address - Country:US
Practice Address - Phone:617-763-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered