Broderick, Genevieve B

Broderick, Genevieve B is an sole proprietor health care provider with primary practice located at 500 Congress St Suite B1, Quincy MA 02169-0908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Broderick, Genevieve B can be contacted via phone (617) 472-6764.

Contact Information

Primary practice address
500 Congress St Suite B1 Quincy MA 02169-0908
Phone: (617) 472-6764
Fax: (617) 770-9933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 233883 Massachusetts

Profile Details

NPI number 1114084191
LBN Legal business name Broderick, Genevieve B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jun 24th, 2015 - about 9 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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