Individual
DR. TIMOTHY BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, STE. 7000, CINCINNATI, OH 45219-4231
(513) 475-8787
(513) 475-7348
Mailing address
2830 VICTORY PKWY, STE. 320, CINCINNATI, OH 45206-1785
(513) 245-3335
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-083461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2439141
—
OH
Enumeration date
03/08/2006
Last updated
02/02/2010
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