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Individual

DR. KENNETH E BRODSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3 WILLOW RUN, AUBURN, ME 04210-8501
(207) 795-6800
(207) 795-6140
Mailing address
PO BOX 95000 LBX 7650, PHILADELPHIA, PA 19195-0001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1284
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
289220099
ME
Enumeration date
07/03/2006
Last updated
11/08/2022
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