Broady, Autumn J

Broady, Autumn J is an individual health care provider with primary practice located at 5730 Telegraph Ave Ste 117 , Oakland CA 94609-1710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Broady, Autumn J can be contacted via phone (415) 600-6400.

Contact Information

Primary practice address
5730 Telegraph Ave Ste 117 Oakland CA 94609-1710
Phone: (415) 600-6400
Fax: (415) 369-1384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 1046715 California

Profile Details

NPI number 1053549048
LBN Legal business name Broady, Autumn J
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Feb 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053549048 NPPES
California Other A142657 STATE MEDICAL LICENSE

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