Tara Kimberly Broderick in Hackensack - General Practice
Tara Kimberly Broderick - NPI 1467504472
Tara Kimberly Broderick is a General Practice in Hackensack, New Jersey. Tara Kimberly Broderick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tara Kimberly Broderick is 1467504472. The last update date is 2007-07-08.
Tara Kimberly Broderick's current location address is 645 Main St, Hackensack, New Jersey. You can contact this provider via phone number 2014888300 and fax number 2014885953. The mailing address for Tara Kimberly Broderick is 645 Main St, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Kimberly Broderick |
|---|---|
| Address | 645 Main St, Hackensack, New Jersey |
| Phone Number | 2014888300 |
| Fax Number | 2014885953 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1467504472 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 645 Main St |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76014712 |
| Phone Number | 2014888300 |
| Fax Number | 2014885953 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Tara Kimberly Broderick by the Centers for Medicare & Medicaid Services?
The Tara Kimberly Broderick has been issued the NPI (National Provider Identifier) 1467504472 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tara Kimberly Broderick is physically located?
The Tara Kimberly Broderick is physically situated at the following address: 645 Main St, Hackensack, NJ, 76014712.
What is Tara Kimberly Broderick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara Kimberly Broderick is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1467504472 assigned to Tara Kimberly Broderick?
The Tara Kimberly Broderick was issued its 1467504472 on 2007-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tara Kimberly Broderick most recently updated or revised?
The details related to Tara Kimberly Broderick, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.