Individual
BENJAMIN I. BRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
2397 HIGHLAND AVE, ALTADENA, CA 91001-2548
(323) 574-8803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G84784
CA
208M00000X
Hospitalist Physician
G84784
CA
Other
Enumeration date
11/13/2006
Last updated
02/07/2024
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