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Kevin Broderick
Retina Specialist (Ophthalmology) Physician in Chevy Chase, Maryland
NPI 1639449721

Kevin Broderick is a Retina Specialist (Ophthalmology) Physician based in Columbia, MD and is specialized in Retina Specialist. Kevin Broderick practices in Chevy Chase, MD. The NPI Number for Kevin Broderick is 1639449721 and holds a License No. (Maryland).

The current practice location address for Kevin Broderick is 5454 Wisconsin Ave Ste 650, Chevy Chase, MD and can be reached out via phone at 301-656-8100 and via fax at 301-652-2957. You can also correspond with Kevin Broderick through the mailing address at 9706 DEEP SMOKE, COLUMBIA, MD - 21046-2807 (mailing address contact number: ).

Location: 5454 Wisconsin Ave Ste 650, Chevy Chase, MD, 21046-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639449721
Provider Name
Kevin Broderick
Credential
Provider Entity Type
Individual
Gender
Male
Address
5454 Wisconsin Ave Ste 650, Chevy Chase, MD, 21046-2807
Phone Number
301-656-8100
Fax Number
301-652-2957
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639449721 05 VA
institution
Provider Business Practice Location Address Details
Address
5454 Wisconsin Ave Ste 650
City
Chevy Chase
State
Maryland
Zip
20815-6956
Phone Number
301-656-8100
Fax Number
301-652-2957
person
Provider Business Mailing Address Details
Address
9706 Deep Smoke
City
Columbia
State
Maryland
Zip
21046-2807
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
MD045933 (District of Columbia)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
D84883 (Maryland)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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