Bromberg, David
Bromberg, David is an individual health care provider with primary practice located at 1475 Taney Ave Ste 201, Frederick MD 21702-5126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bromberg, David can be contacted via phone (301) 662-0133.Contact Information
Primary practice address
1475 Taney Ave Ste 201
Frederick MD 21702-5126
Phone: (301) 662-0133
Fax: (301) 695-8604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D0017851 | Maryland |
Profile Details
| NPI number | 1205830833 |
|---|---|
| LBN Legal business name | Bromberg, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jun 16th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205830833 | NPPES |
| Maryland | MEDICAID | 312321900 |
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