Dr DANIEL K BRODERICK is a male medical professional, specializing in Anesthesiology. He graduated in 2010 from Eastern Virginia Medical School.
MAK ANESTHESIA HOLDINGS, LLC
3950 AUSTELL RD
AUSTELL
GA
301061121
Tel: 7707021806
| Npi | 1699090480 |
| Pac Id | 6204095789 |
| Professional Enrollment Id | I20170208001335 |
| Last Name | BRODERICK |
| First Name | DANIEL |
| Middle Name | K |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Group Practice Pac Id | 4284917204 |
| Number Of Group Practice Members | 139 |
| Line 1 Street Address | 3950 AUSTELL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AUSTELL |
| State | GA |
| Zip Code | 301061121 |
| Phone Number | 7707021806 |
| Hospital Affiliation Ccn 1 | 110115 |
| Hospital Affiliation Lbn 1 | WELLSTAR ATLANTA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 110198 |
| Hospital Affiliation Lbn 2 | WELLSTAR NORTH FULTON HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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