Individual
MR. JOHN JOSEPH BROUGH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-8754
Mailing address
8901 ROCKVILLE PIKE BLDG 193, BETHESDA, MD 20889-0001
(301) 319-8754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0116037351
VA
Other
Enumeration date
04/25/2022
Last updated
08/23/2023
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