Broderick, Bryan

Broderick, Bryan is an individual health care provider with primary practice located at 125 Paterson St , New Brunswick NJ 08901-1962. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Broderick, Bryan can be contacted via phone (732) 235-6874.

Contact Information

Primary practice address
125 Paterson St New Brunswick NJ 08901-1962
Phone: (732) 235-6874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA12217600 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA12217600 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA12217600 New Jersey

Profile Details

NPI number 1215468053
LBN Legal business name Broderick, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jan 2nd, 2025 - about last year

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 1215468053 NPPES
Maryland Other D89495 LICENSE
Maryland Other 25MA12217600 LICENSE

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