Individual
ROBERT IRVING BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301B PARK HILL DR, FREDERICKSBURG, VA 22401-3375
(540) 310-0041
(703) 379-9575
Mailing address
PO BOX 11673, ALEXANDRIA, VA 22312-0673
(703) 820-2212
(703) 379-9575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101027292
VA
Other
Enumeration date
07/06/2006
Last updated
07/09/2007
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