Individual
DR. RONALD C BRODSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
(757) 668-8658
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101037858
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017368750001
—
PA
05
—
7905986
—
NC
05
—
9801033000
—
WV
Enumeration date
05/10/2006
Last updated
07/08/2007
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