Thaddeus Broderick is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Thaddeus Broderick NPI is 1639561012. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8102 ENGLEWOOD RD
INDIANAPOLIS, IN
ZIP 46240-749
Phone: (317) 473-7489
The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.