George T Broderick
Interventional Cardiology Internist - Cardiovascular Disease
9000 N Main St Ste 101
Dayton
, Ohio 45415-1184
George T Broderick
Interventional Cardiology Internist - Cardiovascular Disease
9000 N Main St Ste 101
Dayton
, Ohio 45415-1184
(937) 832-9804
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- George T Broderick
- 9000 N Main St Ste 101
- Dayton, OH
- Zip : 45415-1184
- Fax : (937) 832-9804
- Phone : (937) 832-2425
Second Address
- George T Broderick
- 9000 N Main St Ste 101
- Dayton, OH
- Zip : 45415-1184
- Fax : (937) 832-9804
- Phone : (937) 832-2425
Reviews
FAQs
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Is George T Broderick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 35062694B | OH |
| N | 207RI0011X | Interventional Cardiology | 35062694B | OH |
National Provider Identifier
| NPI | 1134125271 |
|---|---|
| Provider Name | George T Broderick |
| First Address | Dayton, OH 45415-1184 |
| Second Address | Dayton, OH 45415-1184 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2005 |
| Last Update Date | 13/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0849863 | (05) | OH |
| F13540 | (02) | OH |
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.