Individual
LEONID MIKHAILOVICH BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 HOSPITAL DR, MACHIAS, ME 04654-3325
(207) 255-0460
(207) 255-0289
Mailing address
11 HOSPITAL DR, MACHIAS, ME 04654-3325
(207) 255-0460
(207) 255-0289
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016091
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044334
ANTHEM OF MAINE
ME
01
—
050091003
RAILROAD MEDICARE
ME
Enumeration date
05/20/2006
Last updated
09/22/2015
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