Individual
BRADEN GLADYSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1599 N HERMITAGE RD, GREENVILLE MEDICAL CENTER, HERMITAGE, PA 16148-3180
(724) 962-9622
Mailing address
13 SHADY AVE, GREENVILLE MEDICAL CENTER, GREENVILLE, PA 16125-1822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004513
PA
Other
Enumeration date
08/22/2018
Last updated
05/24/2021
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