Organization
GREGORY M BRACCIA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE N SCARDUZIO (BILLING MANAGER)
(484) 452-8003
Entity
Organization
Contact information
Practice address
945 CHESTERBROOK BLVD, CHESTERBROOK, PA 19087-5614
(610) 695-8088
(610) 695-6356
Mailing address
PO BOX 546, WAYNE, PA 19087-0546
(484) 452-8003
(610) 879-5129
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD0489261
PA
Other
Enumeration date
10/30/2007
Last updated
12/06/2007
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