Healthcare Provider Details

I. General information

NPI: 1770302267
Provider Name (Legal Business Name): MENDLIFE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9920 FRANKLIN SQUARE DR STE 220
NOTTINGHAM MD
21236-4985
US

IV. Provider business mailing address

9920 FRANKLIN SQUARE DR STE 220
NOTTINGHAM MD
21236-4985
US

V. Phone/Fax

Practice location:
  • Phone: 410-653-4002
  • Fax:
Mailing address:
  • Phone: 410-653-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAX BRODSKY
Title or Position: OWNER
Credential: MD
Phone: 443-418-6060