Bronder, Jay
Bronder, Jay is an individual health care provider with primary practice located at 1201 Seven Locks Rd Ste 101 , Rockville MD 20854-2957. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bronder, Jay can be contacted via phone (301) 562-7200.Contact Information
Primary practice address
1201 Seven Locks Rd Ste 101
Rockville MD 20854-2957
Phone: (301) 562-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D88091 | Maryland |
Profile Details
| NPI number | 1023404613 |
|---|---|
| LBN Legal business name | Bronder, Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Mar 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023404613 | NPPES |
| Maryland | Other | D88091 | LICENSE |
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