Individual
DR. DAVID BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-5126
(301) 662-0133
(301) 695-8604
Mailing address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-5126
(301) 662-0133
(301) 695-8604
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0017851
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312321900
—
MD
Enumeration date
06/10/2005
Last updated
06/16/2010
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