Active NPIIndividual providerSole proprietor

Jennifer C Broder, MD

Radiology, Diagnostic Radiology in Burlington, Massachusetts

NPI Number1346377702
Practice location
41 Mall RD, Lahey Clinic, Burlington, MA 01805-0001
Fax
—
Last updated
April 23, 2013

Jennifer Chase Broder is a Radiology, Diagnostic Radiology based in Burlington, MA. Jennifer Chase Broder practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Jennifer Chase Broder is 1346377702 and holds a License No. 243729 (MA). The current practice location address for Jennifer Chase Broder is 41 Mall RD, Lahey Clinic, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1346377702
Provider Name
Jennifer Chase Broder
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
41 Mall RD, Lahey Clinic, Burlington, MA 01805-0001
Phone Number
781-744-8000
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
April 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Lahey Clinic
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Lahey Clinic
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8000

License Information

License Number
243729
License State
MA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · 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 Jennifer C Broder, MD?

The NPI number of Jennifer C Broder, MD is 1346377702. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer C Broder, MD?

Jennifer C Broder, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 243729.

Where does Jennifer C Broder, MD practice?

The practice location is 41 Mall RD, Lahey Clinic, Burlington, MA 01805-0001. The office can be reached at 781-744-8000 (phone).

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 1346377702 directly on the NPPES registry website.

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