Michael S. Broder PH.D.

NPI 1003031154 - Psychologist - 103T00000X

NPI Details
NPI 1003031154
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1420 LOCUST ST
7G
PHILADELPHIA PA, 19102-4223, US
Phone (215) 545-7000
Fax (215) 545-7011
Business Location
1420 LOCUST ST
7G
PHILADELPHIA PA, 19102-4223, US
Phone (215) 545-7000
Fax (215) 545-7011
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number PS003069-L
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According to our database, Dr. Michael S. Broder PH.D. NPI is 1003031154, taxonomy code is 103T00000X and license number is PS003069-L, license state is located at Pennsylvania. Michael S. Broder PH.D. physically located at 1420 Locust St, Philadelphia PA, 19102-4223. NPI Number Michael S. Broder PH.D. has the Individual type.

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1003031154 NPI number is provided on an as is basis without warranty of any kind. 1003031154 is maintained by the National Plan & Provider Enumeration System. The contents of Michael S. Broder PH.D. are for informational purposes only.