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Individual

JAMES PAUL BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1991 MARCUS AVE STE 102, NEW HYDE PARK, NY 11042-2062
(516) 497-7912
(516) 497-7928
Mailing address
1991 MARCUS AVE STE 102, NEW HYDE PARK, NY 11042-2062
(516) 497-7912
(516) 497-7928

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
G85144
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G85144
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
206876-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
G85144
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD050602L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G851440
CA
Enumeration date
06/27/2006
Last updated
05/02/2020
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