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Individual

ADAM LAWRENCE BRADDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7910 FROST ST, SUITE 350, SAN DIEGO, CA 92123-2771
(858) 496-4800
Mailing address
7910 FROST ST, SUITE 350, SAN DIEGO, CA 92123-2771
(858) 496-4800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-053642
IL
208000000X
Pediatrics Physician
Primary
A114671
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
A114671
CA

Other

Enumeration date
08/15/2008
Last updated
01/27/2025
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