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Ronald L. Broadwater Sr. M.d.pa
Primary Care Clinic/Center in Cockeysville, Maryland
NPI 1497051395

Ronald L. Broadwater Sr. M.d.pa is a Primary Care Clinic/Center based in Cockeysville, MD and is specialized in Primary Care. Ronald L. Broadwater Sr. M.d.pa practices in Cockeysville, MD. The NPI Number for Ronald L. Broadwater Sr. M.d.pa is 1497051395 and holds a License No. D15200 (Maryland).

The current practice location address for Ronald L. Broadwater Sr. M.d.pa is 12 Brecon Pl, Cockeysville, MD and can be reached out via phone at 443-281-8086 and via fax at 443-281-8117.

Location: 12 Brecon Pl, Cockeysville, MD, 21030-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497051395
Provider Name
Ronald L. Broadwater Sr. M.d.pa
Credential
Provider Entity Type
Organization
Address
12 Brecon Pl, Cockeysville, MD, 21030-2343
Phone Number
443-281-8086
Fax Number
443-281-8117
Provider Enumeration Date
02/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Brecon Pl
City
Cockeysville
State
Maryland
Zip
21030-2343
Phone Number
443-281-8086
Fax Number
443-281-8117
person
Provider Business Mailing Address Details
Address
12 Brecon Pl
City
Cockeysville
State
Maryland
Zip
21030-2343
Phone Number
443-281-8086
Fax Number
443-281-8117
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
D15200 (Maryland)
Definition
Definition to come...
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