National Provider Identifier
Jennifer Brown Broderick, M.D.
Jennifer Brown Broderick, M.D. is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician in Rochester, NY and a listed phone number of (585) 922-4496.
Profile Overview
- NPI
- 1518411321
- Provider Type
- Individual
- Primary Specialty
- Gynecologic Oncology Physician
- Enumeration Date
- August 10, 2016
- Last Updated
- March 17, 2022
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4496
Specialties
- Gynecologic Oncology Physician (207VX0201X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1518411321
- Entity Type
- Individual
- Last Name
- Brown Broderick
- First Name
- Jennifer
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4496
- Enumeration Date
- August 10, 2016
- Last Updated
- March 17, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gynecologic Oncology Physician (207VX0201X), Obstetrics & Gynecology Physician (207V00000X)