Broderick, Thomas F

Broderick, Thomas F is an individual health care provider with primary practice located at 195 Industrial Pkwy Nvrh Corner Medical, Lyndon VT 05849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Broderick, Thomas F can be contacted via phone (802) 748-9501.

Contact Information

Primary practice address
195 Industrial Pkwy Nvrh Corner Medical Lyndon VT 05849
Phone: (802) 748-9501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7599 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 032-0000286 Vermont

Profile Details

NPI number 1083646681
LBN Legal business name Broderick, Thomas F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 14th, 2022 - about 4 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 1083646681 NPPES
New Hampshire MEDICAID 3074951
New Hampshire MEDICAID 0005681

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