John Joseph Brough III, MD
General Practice in Bethesda, MD. Individual provider (NPI-1).
NPI number1164166310
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1164166310
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Joseph Brough III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2022
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0116037351 | VA | Yes |
Practice location
8901 Wisconsin AveBethesda, MD 20889-0001
Phone 301-319-8754
Mailing address
8901 Rockville Pike Bldg 193Bethesda, MD 20889-0001
Phone 301-319-8754
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