Individual
DR. MOLLY C BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 BAINBRIDGE AVE, ROSENTHAL 4, DEPARTMENT OF PEDIATRICS, BRONX, NY 10467-2403
(718) 741-2467
Mailing address
14 ELM PL, BRONX, NY 10465-3908
(617) 276-5549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
260957
NY
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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