Provider Demographics
NPI:1477547305
Name:BROOKS, MICHAEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 CLAYBURGH RD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373-1103
Mailing Address - Country:US
Mailing Address - Phone:610-455-0591
Mailing Address - Fax:610-455-0581
Practice Address - Street 1:1500 LANSDOWNE AVE
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY MERCY FITGERALD HOSPITAL
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1200
Practice Address - Country:US
Practice Address - Phone:610-237-4355
Practice Address - Fax:610-237-2599
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-026080-E2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology