MR. Ronald Lee Broadwater SR., MD
NPI #1821196601 in Cockeysville, Maryland
Provider Information
- NPI Number
- 1821196601
- Entity Type
- Individual
- Name
- MR. Ronald Lee Broadwater SR., MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 6, 2014
Practice Location
- Address
- 12 BRECON PL
- Address 2
- STE 400
- City
- Cockeysville
- State
- Maryland
- ZIP Code
- 21030-2343
- Phone
- (443) 281-8086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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