Brodeur, Garrett M

Brodeur, Garrett M is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Hem/Onc, Philadelphia PA 19104-4319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Brodeur, Garrett M can be contacted via phone (215) 590-3535.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Hem/Onc Philadelphia PA 19104-4319
Phone: (215) 590-3535
Fax: (215) 590-3992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD051368L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD051368L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD051368L Pennsylvania

Profile Details

NPI number 1831119965
LBN Legal business name Brodeur, Garrett M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 15th, 2013 - about 12 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 1831119965 NPPES
New Jersey MEDICAID 6144101
New Jersey MEDICAID 001463660
New Jersey MEDICAID 0014636600001

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