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1003031154
MICHAEL S. BRODER
PHILADELPHIA, PA
NPI
1003031154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS003069-L)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL S. BRODER Ph.D.
1420 LOCUST ST 7G
PHILADELPHIA, PA 19102-4223
Phone number: 215-545-7000
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Mailing Address
Dr. MICHAEL S. BRODER Ph.D.
1420 LOCUST ST 7G
PHILADELPHIA, PA 19102-4223
Phone number: 215-545-7000
Copy
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