Broder, George

Broder, George is an individual health care provider with primary practice located at 865 W Lancaster Ave , Bryn Mawr PA 19010-3336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Broder, George can be contacted via phone (610) 527-8600.

Contact Information

Primary practice address
865 W Lancaster Ave Bryn Mawr PA 19010-3336
Phone: (610) 527-8600
Fax: (610) 527-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD028565L Pennsylvania

Profile Details

NPI number 1760488597
LBN Legal business name Broder, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 8th, 2011 - about 13 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 1760488597 NPPES
Pennsylvania MEDICAID 000590337

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