GENEVIEVE B. BRODERICK M.D. – NPI #1114084191
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

GENEVIEVE BRODERICK is a surgeon located in QUINCY, MA. NPPES has assigned the NPI number 1114084191 to GENEVIEVE BRODERICK on January 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 11 years ago on Jun 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENEVIEVE BRODERICK below.

NPI Profile for
GENEVIEVE B. BRODERICK

NPI Number
1114084191
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GENEVIEVE B. BRODERICK
Credentials
M.D.
Primary location
500 CONGRESS ST
SUITE B1
QUINCY, MA 02169-0908
Phone: (617) 472-6764 Fax: (617) 770-9933
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
MA 233883

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.