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Organization
BRAD E. OREN, MD PA
Active
Organization
BRAD E. OREN, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD E OREN M.D. (PRESIDENT)
(561) 433-0098
Entity
Organization
Contact information
Practice address
8198 S JOG RD, SUITE 102, BOYNTON BEACH, FL 33472-6900
(561) 433-0098
(561) 433-4775
Mailing address
8198 S JOG RD, SUITE 102A, BOYNTON BEACH, FL 33472-2900
(561) 433-0098
(561) 433-4775
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GS635A
MEDICARE PTAN
FL
Enumeration date
11/07/2012
Last updated
01/22/2013
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