Individual
ANDREW KWABENA BROBBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27900 EUCLID AVE, EUCLID, OH 44132-3539
(216) 731-7110
(216) 731-7130
Mailing address
PO BOX 32385, EUCLID, OH 44132-0385
(216) 731-7110
(216) 731-7130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35083527B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359486
ANTHEM BLUE CROSS
OH
01
—
077098726026
CARESOURCE
OH
05
—
2478797
—
OH
01
—
P00739536
RAILROAD MEDICARE
OH
Enumeration date
11/07/2005
Last updated
03/16/2015
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