Ronald L. Broadwater Sr. M.d.pa

  • 1497051395 NPI Number
  • |
  • Actived: 8 years ago
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According to our database, NPI number for Ronald L. Broadwater Sr. M.d.pa is 1497051395 and actived since Thursday, February 10 2011. Ronald L. Broadwater Sr. M.d.pa is an Organization provider specializes in Primary Care. Provider information was last updated on 03/06/2014.

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Overview of Ronald L. Broadwater Sr. M.d.pa

  • NPI number: 1013276088
  • Provider type: Organization
  • Specialty: Primary Care
  • Active since: 02/10/2011
  • Last updated: 03/06/2014

Primary Scrop of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number: D15200
  • License State: MD

Provider Mailing Address

  • Address: 12 Brecon Pl
    Suite 400
    Cockeysville, MD 21030
  • Phone: 443-281-8086
  • Fax: 443-281-8117

Provider Practice Location

  • Address: 12 Brecon Pl
    Suite 400
    Cockeysville, MD 21030
  • Phone: 443-281-8086
  • Fax: 443-281-8117

Authorized Official

  • Name: DR. Ronald Lee Broadwater SR. M.D.
  • Position/Title: Owner/medical Provider
  • Telephone Number: 443-281-8086

Scope of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number: D15200
  • License State: MD
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Ronald L. Broadwater Sr. M.d.pa?
  • A: The npi number for Ronald L. Broadwater Sr. M.d.pa is 1497051395.
  • Q: What are Ronald L. Broadwater Sr. M.d.pa's specialties?
  • A: Ronald L. Broadwater Sr. M.d.pa's specialties are Primary Care and different specialities.
  • Q: Where is Ronald L. Broadwater Sr. M.d.pa business practice location?
  • A: Ronald L. Broadwater Sr. M.d.pa business practice location is 12 Brecon Pl, Cockeysville, MD 21030.
  • Q: How to contact Ronald L. Broadwater Sr. M.d.pa?
  • A: You can contact Ronald L. Broadwater Sr. M.d.pa via 443-281-8086.
  • Q: What is the authorized official for Ronald L. Broadwater Sr. M.d.pa?
  • A: The authorized office name is DR. Ronald Lee Broadwater SR. M.D. with position/title is Owner/medical Provider and you can reach the authorized official via phone number 4432818086.