Individual
IRWIN G BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
(207) 396-7700
(207) 396-7701
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD15924
ME
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD15924
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30208396
—
NH
05
—
323170099
—
ME
Enumeration date
07/06/2006
Last updated
04/27/2017
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