Roger L. Brotman M.D.

NPI 1013910074 - Specialist - 174400000X

NPI Details
NPI 1013910074
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
825 N MAIN ST
PROVIDENCE RI, 02904-5707, US
Phone (401) 521-9700
Fax (401) 751-1686
Business Location
825 N MAIN ST
PROVIDENCE RI, 02904-5707, US
Phone (401) 521-9700
Fax (401) 751-1686
Toxanomy
Taxonomy Code 174400000X
License State Rhode Island
License Number 05415
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According to our database, Dr. Roger L. Brotman M.D. NPI is 1013910074, taxonomy code is 174400000X and license number is 05415, license state is located at Rhode Island. Roger L. Brotman M.D. physically located at 825 N Main St, Providence RI, 02904-5707. NPI Number Roger L. Brotman M.D. has the Individual type.

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1013910074 NPI number is provided on an as is basis without warranty of any kind. 1013910074 is maintained by the National Plan & Provider Enumeration System. The contents of Roger L. Brotman M.D. are for informational purposes only.