Gina Broda

NPI #1164709986 in Plymouth Meeting, Pennsylvania

Provider Information

NPI Number: 1164709986
Entity Type: Individual
Name: Gina Broda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 2250 HICKORY RD
City: Plymouth Meeting
State: Pennsylvania
ZIP Code: 19462-1047
Phone: (610) 834-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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