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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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