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NPI Code Detail

MEDICARE: ADAM M BRODSKY MD

MEDICARE: ADAM M BRODSKY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician34209AZ
2207RI0011XInterventional Cardiology Physician34209AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093709354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM M BRODSKY MD
Provider Business Mailing Address
First Line : 1331 N 7TH ST STE 375
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Provider Business Practice Location Address
First Line : 1331 N 7TH ST STE 375
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 04/06/2021

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Directions to “ ADAM M BRODSKY MD” Practice Location

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