Individual
DR. JEAN R BRODNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 GROSSMAN DR, PEDIATRICS DEPT, BRAINTREE, MA 02184-4997
(781) 849-2302
Mailing address
111 GROSSMAN DR, PEDIATRICS DEPT, BRAINTREE, MA 02184-4997
(781) 849-2302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191320
—
MA
Enumeration date
10/13/2005
Last updated
01/07/2021
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