Individual
PAUL BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2802 PAPERMILL RD, WYOMISSING, PA 19610-1065
(484) 268-2778
(484) 628-2688
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD033206E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001005772
—
PA
Enumeration date
05/03/2006
Last updated
03/25/2013
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