Kristen Parker Broderick in Baltimore - Plastic And Reconstructive Surgery
Kristen Parker Broderick - NPI 1891915021
Kristen Parker Broderick is a Plastic And Reconstructive Surgery in Baltimore, Maryland. Kristen Parker Broderick practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Kristen Parker Broderick is 1891915021. The last update date is 2016-02-05.
Kristen Parker Broderick's current location address is 4940 Eastern Ave, Baltimore, Maryland. You can contact this provider via phone number 4105500407 and fax number 4105501808. The mailing address for Kristen Parker Broderick is 4940 Eastern Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen Parker Broderick |
|---|---|
| Address | 4940 Eastern Ave, Baltimore, Maryland |
| Phone Number | 4105500407 |
| Fax Number | 4105501808 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891915021 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2016-02-05 |
Provider Mailing Address Detail
| Address | 4940 Eastern Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212242735 |
| Phone Number | 4105500407 |
| Fax Number | 4105501808 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | D0080874 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the Kristen Parker Broderick's unique identification number?
The Kristen Parker Broderick has been assigned the NPI (National Provider Identifier) Number 1891915021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kristen Parker Broderick is located?
The Kristen Parker Broderick is situated at the following address: 4940 Eastern Ave, Baltimore, MD, 212242735.
What is Kristen Parker Broderick'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 Kristen Parker Broderick is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.
On what date did the Kristen Parker Broderick receive its 1891915021 assignment from the Centers for Medicare & Medicaid Services?
The Kristen Parker Broderick was assigned its 1891915021 by the Centers for Medicare & Medicaid Services on 2007-04-30.
As of what date were the details pertaining to Kristen Parker Broderick last refreshed?
The information related to the Kristen Parker Broderick, including its address, specialty, and other relevant details, was last updated on 2016-02-05.