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NPI Code Detail

MEDICARE: DR. HAROLD S BRODSKY DDS

MEDICARE: DR. HAROLD S BRODSKY DDS
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
11223G0001XGeneral Practice DentistryDN0007783FL

General Provider Information

NPI Number : 1275552895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD S BRODSKY DDS
Provider Business Mailing Address
First Line : 9110 TIVOLI PL
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-5630
Country : US
Telephone Number : 561-488-1285
Fax Number : 561-488-1285
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line : WEST PALM BEACH VAMC - DENTAL SERVICE(160)
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-5425
Fax Number : 561-422-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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