Individual
DR. ERIN TRACY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
55 FRUIT ST, Y A W 4, BOSTON, MA 02114-2621
(617) 724-6850
(617) 724-3498
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-6850
(617) 724-5843
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
151566
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151566
TUFTS HEALTH PLAN
MA
05
—
3167763
—
MA
01
—
J17994
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
06/04/2020
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