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Individual
DR. MELISSA MARIE BRODERICK
Active
Individual
DR. MELISSA MARIE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., PA-C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2696
MA
363A00000X
Physician Assistant
Primary
PA4137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3456328
AETNA
MA
01
—
Y37019
BCBS
MA
Enumeration date
11/14/2006
Last updated
12/05/2012
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