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Individual
SUSAN J BRODERMAN
Active
Individual
SUSAN J BRODERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034641E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001435061
BLUE SHIELD
PA
01
—
0001435061
PERSONAL CHOICE
—
05
—
0016680780002
—
PA
01
—
007302
AETNA PPO MANAGED CARE
—
01
—
1046905
KEYSTONE MERCY HEALTHPLAN
—
01
—
110243168
MULTIPLAN
—
01
—
21198960001
KEYSTONE HEALTH EAST 65
—
01
—
2119896001
AMERIHEALTH HMO
—
01
—
278863
MAMSI
—
01
—
4708888939
DEVON
—
01
—
470888939
INTERCOUNTY
—
01
—
PC0139
HEALTH NET
—
01
—
PHP185
OXFORD
—
Enumeration date
02/22/2006
Last updated
01/21/2015
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