Dr. David Bromberg
Adolescent Medicine
1475 Taney Ave Ste 201
Frederick
, Maryland 21702-5126
Dr. David Bromberg
Adolescent Medicine
1475 Taney Ave Ste 201
Frederick
, Maryland 21702-5126
(301) 695-8604
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. David Bromberg
- 1475 Taney Ave Ste 201
- Frederick, MD
- Zip : 21702-5126
- Fax : (301) 695-8604
- Phone : (301) 662-0133
Second Address
- Dr. David Bromberg
- 1475 Taney Ave Ste 201
- Frederick, MD
- Zip : 21702-5126
- Fax : (301) 695-8604
- Phone : (301) 662-0133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D0017851 | MD |
National Provider Identifier
| NPI | 1205830833 |
|---|---|
| Provider Name | Dr. David Bromberg |
| First Address | Frederick, MD 21702-5126 |
| Second Address | Frederick, MD 21702-5126 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2005 |
| Last Update Date | 16/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 312321900 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.