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James E. Broderick
Foot Surgery Podiatrist in Canandaigua, New York
NPI 1497074249

James E. Broderick is a Foot Surgery Podiatrist based in Canandaigua, NY and is specialized in Foot Surgery. James E. Broderick practices in Canandaigua, NY. The NPI Number for James E. Broderick is 1497074249 and holds a License No. N004540 (New York).

The current practice location address for James E. 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, 14424-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497074249
Provider Name
James E. Broderick
Credential
Provider Entity Type
Organization
Address
470 S Pearl St, Canandaigua, NY, 14424-1702
Phone Number
585-394-4070
Fax Number
585-394-8563
Provider Enumeration Date
05/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01158323 05 NY
institution
Provider Business Practice Location Address Details
Address
470 S Pearl St
City
Canandaigua
State
New York
Zip
14424-1702
Phone Number
585-394-4070
Fax Number
585-394-8563
person
Provider Business Mailing Address Details
Address
470 S Pearl St
City
Canandaigua
State
New York
Zip
14424-1702
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
213ES0131X
License No.
N004540 (New York)
Definition
Definition to come...
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