Individual
RANDALL BROCKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 CORPORATE BLVD, HFZ-450, ROCKVILLE, MD 20850-3229
(301) 443-8517
(301) 594-3076
Mailing address
8129 MORNING BREEZE DR, ELKRIDGE, MD 21075-6476
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0050594
MD
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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