Individual
KAITLYN BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2200
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD482318
PA
207RI0200X
Infectious Disease Physician
103436
GA
207RI0200X
Infectious Disease Physician
Primary
MD482318
PA
Other
Enumeration date
04/18/2018
Last updated
06/11/2025
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