MEDICARE: JOSEPH FRANCIS BRANDA 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
1	2085R0202X	Diagnostic Radiology Physician	D0020778	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1376657171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH FRANCIS BRANDA MD

Provider Business Mailing Address
First Line	:	9811 MALLARD DR STE 102
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3180
Country	:	US
Telephone Number	:	301-776-4777
Fax Number	:	301-776-2914

Provider Business Practice Location Address
First Line	:	9811 MALLARD DR STE 102
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3180
Country	:	US
Telephone Number	:	301-776-4777
Fax Number	:	301-776-2914

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/17/2008

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Directions to “ JOSEPH FRANCIS BRANDA MD” Practice Location

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