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Richard E Broth, M.D

Obstetrics & Gynecology, Maternal & Fetal Medicine in Silver Spring, MD. Individual provider (NPI-1).

NPI number1508854555
StatusActive
Last updated in NPPESMar 28, 2011

Details

NPI
1508854555
Entity type
Individual (NPI-1)
Name
Richard E Broth
Credential
M.D
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2005
Last updated
Mar 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineD0064574MDYes

Practice location

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556

Phone 301-681-0004 · Fax 512-532-0871

Mailing address

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556

Phone 301-681-0004 · Fax 512-532-0871

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