Avery Caroline Broderick
Avery Caroline Broderick is a Physician Assistant in Killingworth, Connecticut. Qualified in 2023, 3 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 3
- Licensed in
- CT
- In the registry since
- 2023
Practice location Address checks out
63 Parker Hill Road ExtKillingworth, CT 06419-2311
Phone: (203) 937-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 6173 (CT) |
|---|
Record details
| NPI number | 1356022198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 25, 2023 |
| Last updated in NPPES | November 6, 2025 |
| Certification date | November 6, 2025 |
| Mailing address | 5 Pamela Ln, South Salem, NY 10590-1115 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Northeast Medical Group Inc — 1360 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Killingworth
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Emily Marie Darin, PA-C
227 Route 148, Killingworth, CT 06419-2304 · (860) 230-5565