Search › Pennsylvania › 363AS0400X
Taeja Broadwater, PA-C
NPI 1114152329 · on the registry since 2009 · sole proprietor
Practice
- Address
- Geisinger Medical Ctr
100 North Academy Drive
Danville, PA 17822 - Phone
- (570) 271-5555
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 163WM0705X
- Licence states on file
- MD, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania