Jonathan D Broder in Rochester - Vascular & Interventional Radiology
Jonathan D Broder - NPI 1477522514
Jonathan D Broder is a Vascular & Interventional Radiology in Rochester, New York. Jonathan D Broder practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Jonathan D Broder is 1477522514. The last update date is 2014-04-30.
Jonathan D Broder's current location address is 1425 Portland Ave, Rochester, New York. You can contact this provider via phone number 5859223220 and fax number 5859223518. The mailing address for Jonathan D Broder is 1425 Portland Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan D Broder |
|---|---|
| Address | 1425 Portland Ave, Rochester, New York |
| Phone Number | 5859223220 |
| Fax Number | 5859223518 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477522514 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 1425 Portland Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146213001 |
| Phone Number | 5859223220 |
| Fax Number | 5859223518 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 216942 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2057129 | NY | -- |
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What is the unique 10-digit identification code issued to Jonathan D Broder by the Centers for Medicare & Medicaid Services?
The Jonathan D Broder has been assigned the NPI (National Provider Identifier) 1477522514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jonathan D Broder located?
The Jonathan D Broder is located at 1425 Portland Ave, Rochester, NY 146213001.
What is Jonathan D 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 Jonathan D Broder is Vascular & Interventional Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0204X.
When was the Jonathan D Broder's 1477522514 issued?
The Jonathan D Broder's 1477522514 was issued on 2006-03-14.
As of what date were the details related to Jonathan D Broder most recently updated or revised?
The information pertaining to Jonathan D Broder, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-30.