Individual
MR. THOMAS PATRICK BRODERICK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15655 STATE ROUTE 170 STE A, EAST LIVERPOOL, OH 43920-9672
(330) 386-4303
(330) 386-6022
Mailing address
15655 STATE ROUTE 170 STE A, EAST LIVERPOOL, OH 43920-9672
(330) 386-4303
(330) 386-6022
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
246341
OH
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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