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Contact Information

STEPHEN R BRODERICK, MD
601 N CAROLINE ST FL 8
BALTIMORE, MD21287-0006
 Phone: 443-997-1508
 Fax: 443-769-1242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEPHEN R BRODERICK · (Male)

NPI Number 1699934828
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2008
Last updated 04/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • DC License # MD043771
  • MD License # D80914
  • MO License # 2012013459
Hospital affiliation(s)
  • JOHNS HOPKINS HOSPITAL THE - (Acute Care)
    600 NORTH WOLFE STREET
    BALTIMORE, MD 21287
  • SIBLEY MEMORIAL HOSPITAL - (Acute Care)
    5255 LOUGHBORO RD NW
    WASHINGTON, DC 20016
  • TOLEDO HOSPITAL THE - (Acute Care)
    2142 NORTH COVE BOULEVARD
    TOLEDO, OH 43606
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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