Individual
DR. HAL STUART BRODERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1059 INDIAN CREEK RD, WYNNEWOOD, PA 19096-3424
(610) 642-0687
Mailing address
1059 INDIAN CREEK RD, WYNNEWOOD, PA 19096-3424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD032491E
PA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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