Dr. Jennifer Brown Broderick
Gynecologic Oncologist
1425 Portland Ave
Rochester
, New York 14621-3001
Dr. Jennifer Brown Broderick
Gynecologic Oncologist
1425 Portland Ave
Rochester
, New York 14621-3001
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Brown Broderick
- 1425 Portland Ave
- Rochester, NY
- Zip : 14621-3001
- Phone :
Second Address
- Dr. Jennifer Brown Broderick
- 1425 Portland Ave
- Rochester, NY
- Zip : 14621-3001
- Phone : (585) 922-4496
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 2832781 | NY |
National Provider Identifier
| NPI | 1518411321 |
|---|---|
| Provider Name | Dr. Jennifer Brown Broderick |
| First Address | Rochester, NY 14621-3001 |
| Second Address | Rochester, NY 14621-3001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2016 |
| Last Update Date | 10/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.