Richard Jay Brody M.D.

NPI 1083697825 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083697825
Gender Male
Enumeration Date 11/25/2005
Last Updated 11/08/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
225 SMITH AVE N STE 400
SAINT PAUL MN, 55102-2568, US
Phone (651) 290-0133
Fax
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Minnesota
License Number 29131
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According to our database, Dr. Richard Jay Brody M.D. NPI is 1083697825, taxonomy code is 207RC0000X and license number is 29131, license state is located at Minnesota. Richard Jay Brody M.D. physically located at 225 Smith Ave N Ste 400, Saint Paul MN, 55102-2568. NPI Number Richard Jay Brody M.D. has the Individual type.

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1083697825 NPI number is provided on an as is basis without warranty of any kind. 1083697825 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Jay Brody M.D. are for informational purposes only.