Individual
MR. JASON ROBERT BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1576 MERRITT BLVD STE 8, DUNDALK, MD 21222-2114
(443) 530-6533
Mailing address
1576 MERRITT BLVD STE 8, DUNDALK, MD 21222-2114
(443) 530-6533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07253
MD
Other
Enumeration date
10/10/2018
Last updated
10/30/2022
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