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1700144839
JEROME HENRY BRODISH
RANCHO MIRAGE, CA
NPI
1700144839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA CFE40507)
Enumeration Date
2012-04-26
Last Update Date
2012-04-26
Business Address
Dr. JEROME HENRY BRODISH M.D.
35306 VISTA HERMOSA
RANCHO MIRAGE, CA 92270-1889
Phone number: 760-321-2303
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Mailing Address
Dr. JEROME HENRY BRODISH M.D.
PO BOX 2077
CATHEDRAL CITY, CA 92235-2077
Phone number: 760-321-2303
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