Individual
DR. JENNIFER BROWN BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4496
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
283278
NY
207VX0201X
Gynecologic Oncology Physician
Primary
2832781
NY
Other
Enumeration date
08/10/2016
Last updated
03/17/2022
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