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Individual
BRADLEY WERTMAN
Active
Individual
BRADLEY WERTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E1175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220018813
RAILROAD MEDICARE
TX
01
—
220031573
RAILROAD M/C-HPA1
TX
Enumeration date
06/16/2005
Last updated
03/19/2009
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