Individual
MARK ROBERT BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 ANGELL ST, PROVIDENCE, RI 02906-2119
(401) 861-4643
Mailing address
295 ANGELL ST, PROVIDENCE, RI 02906-2119
(401) 861-4643
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
08028
RI
2084P0800X
Psychiatry Physician
08028
RI
2084P0804X
Child & Adolescent Psychiatry Physician
08028
RI
Other
Enumeration date
09/07/2006
Last updated
09/11/2025
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