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Individual
ANATOLY BRODSKY
Active
Individual
ANATOLY BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A72800
CA
207Q00000X
Family Medicine Physician
MD22865
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188871
RAILROAD MEDICARE PROVIDER NUMBER
OR
05
—
287049
—
OR
Enumeration date
05/12/2006
Last updated
12/15/2021
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