Individual
DR. STEPHEN ROBERT BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST FL 8, BALTIMORE, MD 21287-0006
(443) 997-1508
(443) 769-1242
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012013459
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2012013459
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D80914
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD043771
DC
Other
Enumeration date
06/03/2008
Last updated
04/10/2025
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