Broderick, Matthew
Broderick, Matthew is an individual health care provider with primary practice located at 3400 Spruce St 3W Gates, Philadelphia PA 19104-4286. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Broderick, Matthew can be contacted via phone (215) 662-4000.Contact Information
Primary practice address
3400 Spruce St 3W Gates
Philadelphia PA 19104-4286
Phone: (215) 662-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA10614000 | New Jersey |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD466803 | Pennsylvania |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 25MA10614000 | New Jersey |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD466803 | Pennsylvania |
Profile Details
NPI number | 1417338336 |
---|---|
LBN Legal business name | Broderick, Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2015 |
Last updated | Feb 23rd, 2024 - about 9 months 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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