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Andrew Larence Broda
Student in an Organized Health Care Education/Training Program in Annapolis, Maryland
NPI 1306541115

Andrew Larence Broda is a Student in an Organized Health Care Education/Training Program based in Annapolis, MD. Andrew Larence Broda practices in Annapolis, MD. The NPI Number for Andrew Larence Broda is 1306541115 and holds a License No. (Maryland).

The current practice location address for Andrew Larence Broda is 2001 Medical Pkwy, Annapolis, MD and can be reached out via phone at 443-481-4142 and via fax at 443-924-2727.

Location: 2001 Medical Pkwy, Annapolis, MD, 21401-3773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306541115
Provider Name
Andrew Larence Broda
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Medical Pkwy, Annapolis, MD, 21401-3773
Phone Number
443-481-4142
Fax Number
443-924-2727
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Medical Pkwy
City
Annapolis
State
Maryland
Zip
21401-3773
Phone Number
443-481-4142
Fax Number
443-924-2727
person
Provider Business Mailing Address Details
Address
2001 Medical Pkwy
City
Annapolis
State
Maryland
Zip
21401-3773
Phone Number
443-481-4142
Fax Number
443-924-2727
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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