Stephen Robert Broderick in Chesterfield - Thoracic Surgery (cardiothoracic Vascular Surgery)

Stephen Robert Broderick - NPI 1699934828

Stephen Robert Broderick is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Chesterfield, Missouri. Stephen Robert Broderick practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Stephen Robert Broderick is 1699934828. The last update date is 2015-12-17.

Stephen Robert Broderick's current location address is 222 S Woods Mill Rd, Chesterfield, Missouri. You can contact this provider via phone number 3144343049 and fax number 3142056916. The mailing address for Stephen Robert Broderick is 222 S Woods Mill Rd, Chesterfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Robert Broderick
Address 222 S Woods Mill Rd, Chesterfield, Missouri
Phone Number 3144343049
Fax Number 3142056916
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699934828
Provider Enumeration Date 2008-06-03
Last Updated Date 2015-12-17

Provider Mailing Address Detail

Address 222 S Woods Mill Rd
City Chesterfield
State Missouri (MO)
Post Code 630173625
Phone Number 3144343049
Fax Number 3142056916

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No 2012013459
Definition:
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities

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FAQs about Stephen Robert Broderick

What is the Stephen Robert Broderick's 1699934828?

The Stephen Robert Broderick's NPI (National Provider Identifier) Number is 1699934828. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stephen Robert Broderick is physically located?

The Stephen Robert Broderick is physically situated at the following address: 222 S Woods Mill Rd, Chesterfield, MO, 630173625.

What is Stephen Robert Broderick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen Robert Broderick's area of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this field of practice is 208G00000X.

On what date did Stephen Robert Broderick receive its 1699934828 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Robert Broderick was assigned its 1699934828 on 2008-06-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Stephen Robert Broderick most recently updated or revised?

The details related to Stephen Robert Broderick, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-17.

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