Organization
BAY COLONY NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD A SELLAND M.D. (PRESIDENT)
(617) 288-0234
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER, MA 02124
(617) 288-0234
(617) 298-2851
Mailing address
2100 DORCHESTER AVE, DORCHESTER, MA 02124
(617) 288-0234
(617) 298-2851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9730711
—
MA
Enumeration date
04/19/2007
Last updated
08/22/2020
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