Individual
DR. ELIZABETH A BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
857 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(610) 664-2951
(610) 664-2131
Mailing address
857 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(610) 664-2951
(610) 664-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD063085L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862091
—
NY
Enumeration date
06/20/2005
Last updated
06/08/2014
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