Individual provider · Type 1 NPI
Genevieve B. Broderick, MD
Plastic and Reconstructive Surgery Physician · Quincy, MA
NPI number
1114084191
Active
Practice location
500 Congress St, Suite B1
Quincy, MA 02169-0908
Fax (617) 770-9933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 233883 (MA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1114084191
Genevieve B. Broderick, MD's National Provider Identifier is 1114084191, issued on Jan 2, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Quincy, MA. The record was last updated on Jun 24, 2015.