Individual
DEBORAH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 HERRICK ST, SUITE 2004, BEVERLY, MA 01915-2757
(978) 927-4800
(978) 232-5772
Mailing address
83 HERRICK ST, SUITE 2004, BEVERLY, MA 01915-2757
(978) 927-4800
(978) 232-5772
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
74787
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083501
—
MA
Enumeration date
07/17/2006
Last updated
03/27/2012
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