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1982635157
ROBERT IRVING BRODER
FREDERICKSBURG, VA
NPI
1982635157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: VA 0101027292)
Enumeration Date
2006-07-06
Last Update Date
2007-07-09
Business Address
-- ROBERT IRVING BRODER m.d.
301B PARK HILL DR
FREDERICKSBURG, VA 22401-3375
Phone number: 540-310-0041
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Mailing Address
-- ROBERT IRVING BRODER m.d.
PO BOX 11673
ALEXANDRIA, VA 22312-0673
Phone number: 703-820-2212
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