Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA BRODERICK, M.D.
ActiveTHERESA BRODERICK, M.D. is a Pediatrics healthcare provider located in HAMPTON, Virginia. NPI 1568672459 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HAMPTON, VA
Registration Details
- NPI Number
- 1568672459
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2007 (19.239940498374 yrs)
- Last Updated
- May 13, 2019
- License
-
0101247997 (VA)
Practice Information
- Address
-
23 MANHATTAN SQHAMPTON, VA, 236665843Browse VA providers · Browse ZIP 23666
- Phone
- 7572241600
- Fax
- 7578251316
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in HAMPTON, VA
| Name | Credential | NPI |
|---|---|---|
| JULIAN BLALOCK JR. | MD | 1619972833 |
| ELIZABETH BRODERICK | MD | 1467457697 |
| MARGARET V BLANCHARD | MD | 1639174436 |
| JON GRIFFITHS | MD | 1972508778 |
| DR. MARK EDWARD HOLMAN | M.D. | 1861492233 |
| DR. JOSE RAMON C ONGKINGCO | MD, FAAP | 1992745301 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.