Cadat O Broderick D.O.

NPI 1871866251 - Anesthesiology - 207L00000X

NPI Details
NPI 1871866251
Gender Male
Enumeration Date 02/16/2012
Last Updated 02/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
327 BEACH 19 STREET
ST JOHNS EPISCOPAL HOSPITAL
FAR ROCKAWAY NY, 11691, US
Phone (718) 869-7000
Fax
Business Location
17 SAGAMORE RD
ISLAND PARK NY, 11558-1412, US
Phone (561) 516-1144
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Florida
License Number B636114803300
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According to our database, Dr. Cadat O Broderick D.O. NPI is 1871866251, taxonomy code is 207L00000X and license number is B636114803300, license state is located at Florida. Cadat O Broderick D.O. physically located at 327 Beach 19 Street, Far Rockaway NY, 11691. NPI Number Cadat O Broderick D.O. has the Individual type.

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1871866251 NPI number is provided on an as is basis without warranty of any kind. 1871866251 is maintained by the National Plan & Provider Enumeration System. The contents of Cadat O Broderick D.O. are for informational purposes only.