Joseph Benjamin Broudy M.D.

NPI 1689706434 - Radiology - 2085R0204X

NPI Details
NPI 1689706434
Gender Male
Enumeration Date 03/09/2007
Last Updated 09/15/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
6439 GARNERS FERRY RD
COLUMBIA SC, 29209-1638, US
Phone (809) 776-4000
Fax
Business Location
200 ATRIUM WAY
APT. 1305
COLUMBIA SC, 29223-6390, US
Phone (859) 420-2770
Fax
Toxanomy
Taxonomy Code 2085R0204X
License State Missouri
License Number 2011015956
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According to our database, Dr. Joseph Benjamin Broudy M.D. NPI is 1689706434, taxonomy code is 2085R0204X and license number is 2011015956, license state is located at Missouri. Joseph Benjamin Broudy M.D. physically located at 6439 Garners Ferry Rd, Columbia SC, 29209-1638. NPI Number Joseph Benjamin Broudy M.D. has the Individual type.

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1689706434 NPI number is provided on an as is basis without warranty of any kind. 1689706434 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Benjamin Broudy M.D. are for informational purposes only.