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Individual
DR. MARK MARATKA BRODIE
Active
Individual
DR. MARK MARATKA BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38285
SC
208M00000X
Hospitalist Physician
Primary
3825
SC
Other
Enumeration date
06/03/2015
Last updated
06/26/2018
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