# TLC PERINATAL RICHARD BROTH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023822301
- **Authorized official:** RICHARD E BROTH (PHYSICIAN/OWNER)
- **Authorized official phone:** (301) 684-0004

## Contact information

- **Practice address:** 1165 IMPERIAL DR STE 202, HAGERSTOWN, MD 21740-6583
- **Practice address phone:** (301) 684-0004
- **Mailing address:** 10801 LOCKWOOD DR STE 300, SILVER SPRING, MD 20901-1562
- **Mailing address phone:** (301) 684-0004
- **Mailing address fax:** (301) 593-1981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025