Active NPIIndividual provider

Dr. Melissa M Broderick, DC, PA-C

Physician Assistant in Methuen, Massachusetts

NPI Number1144392234
Practice location
70 East St, Methuen, MA 01844-4597
Fax
978-687-9392
Last updated
December 5, 2012

Melissa Marie Broderick is a Physician Assistant based in Methuen, MA. Melissa Marie Broderick practices in Methuen, MA and has the professional credentials of DC, PA-C. The NPI Number for Melissa Marie Broderick is 1144392234 and holds a License No. 2696 (MA). The current practice location address for Melissa Marie Broderick is 70 East St, Methuen, MA 01844-4597 and can be reached out via phone at 978-687-0156 and via fax at 978-687-9392.

Provider Profile Details

NPI Number
1144392234
Provider Name
Melissa Marie Broderick
Credential
DC, PA-C
Provider Entity Type
Individual
Gender
Female
Address
70 East St, Methuen, MA 01844-4597
Phone Number
978-687-0156
Fax Number
978-687-9392
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2006
Last Update Date
December 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 East St
Methuen, MA 01844-4597
Zip
01844-4597
Phone Number
978-687-0156
Fax Number
978-687-9392
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
70 East St
Methuen, MA 01844-4597
City
Methuen
State
MA
Zip
01844-4597
Phone Number
978-687-0156
Fax Number
978-687-9392

License Information

License Number (1)
2696
License State (1)
MA
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
PA4137
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Melissa M Broderick, DC, PA-C?

The NPI number of Dr. Melissa M Broderick, DC, PA-C is 1144392234. It was assigned on November 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Melissa M Broderick, DC, PA-C?

Dr. Melissa M Broderick, DC, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 2696.

Where does Dr. Melissa M Broderick, DC, PA-C practice?

The practice location is 70 East St, Methuen, MA 01844-4597. The office can be reached at 978-687-0156 (phone) or 978-687-9392 (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 1144392234 directly on the NPPES registry website.

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