person
James Edward Broderick, DPM
Foot Surgery Podiatrist in Canandaigua, New York
NPI 1093726473

James Edward Broderick is a Foot Surgery Podiatrist based in Canandaigua, NY and is specialized in Foot Surgery. James Edward Broderick practices in Canandaigua, NY and has the professional credentials of DPM. The NPI Number for James Edward Broderick is 1093726473 and holds a License No. N004540 (New York).

The current practice location address for James Edward Broderick is 470 S Pearl St, Canandaigua, NY and can be reached out via phone at 585-394-4070 and via fax at 585-394-8563.

Location: 470 S Pearl St, Canandaigua, NY, 14424
person
Provider Profile Details
NPI Number
1093726473
Provider Name
James Edward Broderick
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
470 S Pearl St, Canandaigua, NY, 14424
Phone Number
585-394-4070
Fax Number
585-394-8563
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01158323 05 NY
8110 01 NY ROCHESTER BL SHIELD
480007845 01 NY RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
470 S Pearl St
City
State
Zip
14424
Phone Number
585-394-4070
Fax Number
585-394-8563
person
Provider Business Mailing Address Details
Address
470 S Pearl St
City
State
Zip
14424
Phone Number
585-394-4070
Fax Number
585-394-8563
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N004540 (New York)
Definition
Definition to come...
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