Broderick, Karen A

Broderick, Karen A is an individual health care provider with primary practice located at 900 Caton Avenue , Baltimore MD 21229. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Broderick, Karen A can be contacted via phone (410) 368-2505.

Contact Information

Primary practice address
900 Caton Avenue Baltimore MD 21229
Phone: (410) 368-2505
Fax: (410) 368-3549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0035190 Maryland
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X D0035190 Maryland

Profile Details

NPI number 1013977073
LBN Legal business name Broderick, Karen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 17th, 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 1013977073 NPPES
Maryland MEDICAID 442791200
Maryland Other W6620094
Maryland Other K51935153501

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