Organization · Type 2 NPI
Ronald L. Broadwater Sr. M.d.pa
Primary Care Clinic/Center · Cockeysville, MD
NPI number
1497051395
Active
Practice location
12 Brecon Pl, Suite 400
Cockeysville, MD 21030-2343
Fax (443) 281-8117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | D15200 (MD) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Cockeysville
About NPI 1497051395
Ronald L. Broadwater Sr. M.d.pa's National Provider Identifier is 1497051395, issued on Feb 10, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Cockeysville, MD. The record was last updated on Mar 6, 2014.