| Doctor Name: | DR. MICHAEL RUDOLPH DOBRIDGE |
| NPI Number: | 1801145594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 1138 |
| Business Practice Address: | 15660 Cliff Swallow Way Rockville, MD - 208531489 |
| Business Phone Number: | 3019104803 |
| Business Fax Number: | 2403422231 |
| Mailing Address: | 15660 Cliff Swallow Way, ROCKVILLE |
| State: | MD |
| Postal Code: | 208531489 |
| Phone Number: | 3019104803 |
| Fax Number: | 2403422231 |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |