Dr. Genevieve B Broderick, MD
Surgery, Plastic and Reconstructive Surgery in Quincy, Massachusetts
1114084191- Practice location
- 500 Congress St, Suite B1, Quincy, MA 02169-0908
- Phone
- 617-472-6764
- Fax
- 617-770-9933
- Last updated
- June 24, 2015
Genevieve B Broderick is a Surgery, Plastic and Reconstructive Surgery based in Quincy, MA. Genevieve B Broderick practices in Quincy, MA and has the professional credentials of MD. The NPI Number for Genevieve B Broderick is 1114084191 and holds a License No. 233883 (MA). The current practice location address for Genevieve B Broderick is 500 Congress St, Suite B1, Quincy, MA 02169-0908 and can be reached out via phone at 617-472-6764 and via fax at 617-770-9933.
Provider Profile Details
- NPI Number
- 1114084191
- Provider Name
- Genevieve B Broderick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Congress St, Suite B1, Quincy, MA 02169-0908
- Phone Number
- 617-472-6764
- Fax Number
- 617-770-9933
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 2, 2007
- Last Update Date
- June 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Congress St
Suite B1
Quincy, MA 02169-0908 - City
- Quincy
- State
- Massachusetts
- Zip
- 02169-0908
- Phone Number
- 617-472-6764
- Fax Number
- 617-770-9933
Provider Business Mailing Address Details
- Address
- 500 Congress St
Suite B1
Quincy, MA 02169-0908 - City
- Quincy
- State
- MA
- Zip
- 02169-0908
- Phone Number
- 617-472-6764
- Fax Number
- 617-770-9933
License Information
- License Number
- 233883
- License State
- MA
- Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Genevieve B Broderick, MD?
The NPI number of Dr. Genevieve B Broderick, MD is 1114084191. It was assigned on January 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Genevieve B Broderick, MD?
Dr. Genevieve B Broderick, MD is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in MA under license number 233883.
Where does Dr. Genevieve B Broderick, MD practice?
The practice location is 500 Congress St, Suite B1, Quincy, MA 02169-0908. The office can be reached at 617-472-6764 (phone) or 617-770-9933 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114084191 directly on the NPPES registry website.