Search › New Jersey › 1223G0001X
Tara Broderick, DMD
NPI 1467504472 · on the registry since 2007
Practice
- Address
- 645 Main St
Hackensack, NJ 07601 - Phone
- (201) 488-8300
- Fax
- (201) 488-5953
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey