Broderick, Matthew Cullen

Broderick, Matthew Cullen is an sole proprietor health care provider with primary practice located at 10500 Montgomery Rd , Cincinnati OH 45242-4402. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Broderick, Matthew Cullen can be contacted via phone (513) 865-2246.

Contact Information

Primary practice address
10500 Montgomery Rd Cincinnati OH 45242-4402
Phone: (513) 865-2246
Fax: (513) 865-5596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.127068 Ohio

Profile Details

NPI number 1649536558
LBN Legal business name Broderick, Matthew Cullen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated May 23rd, 2017 - about 9 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 1649536558 NPPES
Ohio Other 35.127068 OH MD LICENSE

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