Individual
DR. THEODORE CARLTON BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
194723
NY
207ZP0101X
Anatomic Pathology Physician
39871
WI
208D00000X
General Practice Physician
194723-1
NY
Other
Enumeration date
10/08/2010
Last updated
11/06/2017
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