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Matthew Brodak, O.D
NPI 1477727055 · on the registry since 2008 · sole proprietor
Practice
- Address
- 9673 Lost Knife Rd
Gaithersburg, MD 20877 - Phone
- (301) 330-4265
- Fax
- (301) 963-4508
- Organisation at this address
- Luxottica Of America Inc
Montgomery Village Eyecare Associates, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland