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Thaddeus Broderick
NPI 1639561012 · on the registry since 2015 · sole proprietor
Practice
- Address
- 8102 Englewood Rd
Indianapolis, IN 46240 - Phone
- (317) 473-7489
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-23
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 Indiana