Individual
ROBERT BRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1459 POTOMAC AVE, HAGERSTOWN, MD 21742-3315
(301) 791-5882
(301) 714-0632
Mailing address
1459 POTOMAC AVE, HAGERSTOWN, MD 21742-3315
(301) 791-5882
(301) 714-0632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D 0004359
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44775-1100
—
MD
Enumeration date
08/10/2006
Last updated
01/03/2014
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