Individual
DR. JOSEPH ANTHONY BRODERICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
123 EGG HARBOR RD, SUITE 307, SEWELL, NJ 08080-9406
(856) 288-4477
(856) 228-8365
Mailing address
123 EGG HARBOR RD, SUITE 307, SEWELL, NJ 08080-9406
(856) 288-4477
(856) 228-8365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC005756
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0735757000
AMERIHEALTH, KEYSTONE
NJ
01
—
0735757000
BC BS PERSONAL CHOICE
PA
01
—
5776695
AETNA
NJ
Enumeration date
12/04/2006
Last updated
07/08/2007
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