Individual
JEFFREY T BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 337-5321
Mailing address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 337-5321
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D0051703
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847703500
—
MD
Enumeration date
07/21/2006
Last updated
11/11/2013
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