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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023404613 NPPES
Maryland Other D88091 LICENSE

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