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Contact Information

PATRICK T BRODERICK, MD
4700 WATERS AVE
2ND FLOOR, GEORGIA EAR
SAVANNAH, GA31404-6220
 Phone: 912-988-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PATRICK T BRODERICK · (Male)

NPI # 1760691083
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 07/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 27983AL
  • GA License # 065999
  • MO License # 2008018932
Hospital affiliation(s) Not Available
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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