Individual
BRADLEY PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 978-8960
Mailing address
22 WINDWARD DR, MANAHAWKIN, NJ 08050-3339
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA068954
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA068954
STATE LICENSE
NJ
01
—
DO7600000
STNA
NJ
Enumeration date
10/26/2006
Last updated
03/07/2023
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