| Doctor Name: | JAMES EDWARD BRODERICK |
| NPI Number: | 1093726473 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | N004540 |
| Business Practice Address: | 470 S Pearl St Canandaigua, NY - 14424 |
| Business Phone Number: | 5853944070 |
| Business Fax Number: | 5853948563 |
| Mailing Address: | 470 S Pearl St, CANANDAIGUA |
| State: | NY |
| Postal Code: | 14424 |
| Phone Number: | 5853944070 |
| Fax Number: | 5853948563 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 07/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N004540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |