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Individual
MARK ROBERT BRODY
Active
Individual
MARK ROBERT BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
08028
RI
2084P0800X
Psychiatry Physician
08028
RI
2084P0804X
Child & Adolescent Psychiatry Physician
08028
RI
Other
Enumeration date
09/07/2006
Last updated
09/11/2025
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