Individual
MERRICK ADAM BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3828 SCHAUFELE AVE STE 300, LONG BEACH, CA 90808-1793
(562) 997-1144
(562) 997-9881
Mailing address
12700 PARK CENTRAL DR STE 1210, DALLAS, TX 75251-1522
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
61263332
WA
207ND0101X
MOHS-Micrographic Surgery Physician
61263332
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A178273
CA
207NS0135X
Procedural Dermatology Physician
61263332
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2017
Last updated
04/07/2025
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