RONALD LEE BROADWATER

COCKEYSVILLE, MD
NPI1821196601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D0015200)
Enumeration Date2006-09-20
Last Update Date2014-03-06
Business Address
Mr. RONALD LEE BROADWATER MD
12 BRECON PL STE 400
COCKEYSVILLE, MD 21030-2343
Phone number: 443-281-8086
Mailing Address
Mr. RONALD LEE BROADWATER MD
12 BRECON PL STE 400
COCKEYSVILLE, MD 21030-2343
Phone number: 443-281-8086
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