Individual
JAY BRONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 SEVEN LOCKS RD STE 101, ROCKVILLE, MD 20854-2957
(301) 562-7200
Mailing address
8555 16TH ST STE 310, SILVER SPRING, MD 20910-2802
(301) 562-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D88091
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D88091
LICENSE
MD
Enumeration date
04/09/2015
Last updated
03/01/2022
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