Ronald L. Broadwater Sr M D PA
Ronald L. Broadwater Sr M D PA is a Primary Care Clinic/Center in Cockeysville, Maryland. Licensed in Maryland. Registered with an NPI since 2011.
- Licensed in
- MD
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12 Brecon Pl Ste 400Cockeysville, MD 21030-2343
Phone: (443) 281-8086
Fax: (443) 281-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence D15200 (MD) |
|---|
Record details
| NPI number | 1497051395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Broadwater — Owner/Medical Provider · (443) 281-8086 |
| NPI enumerated | February 10, 2011 |
| Last updated in NPPES | March 6, 2014 |
| Mailing address | 12 Brecon Pl, Suite 400, Cockeysville, MD 21030-2343 |
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