George Broder in Bryn Mawr - Diagnostic Radiology

George Broder - NPI 1760488597

George Broder is a Diagnostic Radiology in Bryn Mawr, Pennsylvania. George Broder practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for George Broder is 1760488597. The last update date is 2011-09-08.

George Broder's current location address is 865 W Lancaster Ave, Bryn Mawr, Pennsylvania. You can contact this provider via phone number 6105278600 and fax number 6105271234. The mailing address for George Broder is 865 W Lancaster Ave, Bryn Mawr, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name George Broder
Address 865 W Lancaster Ave, Bryn Mawr, Pennsylvania
Phone Number 6105278600
Fax Number 6105271234
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1760488597
Provider Enumeration Date 2005-06-27
Last Updated Date 2011-09-08

Provider Mailing Address Detail

Address 865 W Lancaster Ave
City Bryn Mawr
State Pennsylvania (PA)
Post Code 1901033360
Phone Number 6105278600
Fax Number 6105271234

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD028565L
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
590337 PA --

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FAQs about George Broder

What is the unique identification code assigned to George Broder by the Centers for Medicare & Medicaid Services?

The George Broder has been issued the NPI (National Provider Identifier) 1760488597. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of George Broder?

The George Broder is situated at 865 W Lancaster Ave, in the city of Bryn Mawr, state of PA, with the zip code 1901033360.

What is George Broder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for George Broder is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date was the 1760488597 assigned to George Broder?

The George Broder was issued its 1760488597 on 2005-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to George Broder most recently updated or refreshed?

The details pertaining to the George Broder, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-08.

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