Kevin J Broderick D.O.

NPI 1013954759 - Family Medicine - 207Q00000X

NPI Details
NPI 1013954759
Gender Male
Enumeration Date 06/01/2006
Last Updated 03/07/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1 COMPASS WAY
SUITE 102
EAST BRIDGEWATER MA, 02333-1465, US
Phone (508) 350-2100
Fax (508) 350-2314
Business Location
362 N BEDFORD ST
EAST BRIDGEWATER MA, 02333-1148, US
Phone (508) 350-2350
Fax (508) 350-2318
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 204113
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According to our database, Kevin J Broderick D.O. NPI is 1013954759, taxonomy code is 207Q00000X and license number is 204113, license state is located at Massachusetts. Kevin J Broderick D.O. physically located at 1 Compass Way, East Bridgewater MA, 02333-1465. NPI Number Kevin J Broderick D.O. has the Individual type.

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1013954759 NPI number is provided on an as is basis without warranty of any kind. 1013954759 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin J Broderick D.O. are for informational purposes only.