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Individual
MR. MICHAEL A BRODSKY
Active
Individual
MR. MICHAEL A BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD11837
HI
174400000X
Specialist
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD11837
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000255315
HMSA BILLING NUMBER
HI
05
—
57286901
—
HI
05
—
GR0059850
—
CA
Enumeration date
06/15/2005
Last updated
01/13/2012
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