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Individual

MICHAEL BRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10412 CROSSING CREEK RD, POTOMAC, MD 20854-4201
(301) 299-8969
(301) 299-8962
Mailing address
10412 CROSSING CREEK RD, POTOMAC, MD 20854-4201
(301) 299-8969
(301) 299-8962

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
D0007288
MD

Other

Enumeration date
06/20/2008
Last updated
06/20/2008
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