Individual
JOEL MATTHEW BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK - PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-6063
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK - PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-6063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
EC121077
ME
208000000X
Pediatrics Physician
Primary
17489
NH
Other
Enumeration date
05/29/2012
Last updated
09/08/2016
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