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Contact Information

DANIEL K BRODERICK, MD
303 PARKWAY DR NE
ATLANTA, GA30312
 Phone: 404-265-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DANIEL K BRODERICK · (Male)

NPI # 1699090480
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2010
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 074476
  • TN License # 56806
Hospital affiliation(s)
  • COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA - (Acute Care)
    23625 W R HOLMAN HIGHWAY
    MONTEREY, CA 93940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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