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Individual

MATTHEW BRODERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(470) 788-1010
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
101842
GA
2084N0400X
Neurology Physician
25MA10614000
NJ
2084N0400X
Neurology Physician
MD466803
PA
2084V0102X
Vascular Neurology Physician
101842
GA
2084V0102X
Vascular Neurology Physician
25MA10614000
NJ
2084V0102X
Vascular Neurology Physician
MD466803
PA

Other

Enumeration date
06/16/2015
Last updated
12/10/2024
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