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Individual

RICHARD E BROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
10801 LOCKWOOD DR, SUITE 300, SILVER SPRING, MD 20901-1556
(301) 681-0004
(512) 532-0871
Mailing address
10801 LOCKWOOD DR, SUITE 300, SILVER SPRING, MD 20901-1556
(301) 681-0004
(512) 532-0871

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D0064574
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003
BCBS NCA
DC
01
158004060
MARYLAND PHYSICIANS CARE MCO
MD
01
208515
PRIORITY PARTNERS (JOHN HOPKINS HEALTH PLAN)
MD
01
2163864
UNITED HEALTHCARE
MD
01
268283
KAISER
MD
01
308439
AMERIGROUP
MD
05
411254700
MD
01
7156605
CIGNA
MD
01
7400548
AMERICHOICE
MD
01
771360
NCPPO
MD
01
7850486
AETNA HMO
MD
01
872173
FIRST HEALTH/COVENTRY
MD
01
889124
BCBS MARYLAND
MD
01
9304733
PHCS
MD
Enumeration date
10/12/2005
Last updated
03/28/2011
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