Individual
DR. WILLIAM G BRODERICK
Active
Individual
DR. WILLIAM G BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35067029
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007575
ANTHEM BC/BS
OH
05
—
0197700
—
OH
01
—
0668904
AETNA
OH
01
—
1220714
UNITED HEALTHCARE
OH
01
—
6702901
HUMANA
OH
Enumeration date
02/13/2006
Last updated
04/27/2011
Update your record
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