Individual
BRADLEY J. FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 MARYLAND ROAD SUITE 200, WILLOW GROVE, PA 19090
(215) 657-9393
(215) 657-9398
Mailing address
2325 MARYLAND RD STE 200, WILLOW GROVE, PA 19090-1760
(215) 657-9393
(215) 657-9398
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD067744L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0872975000
AMERIHEALTH
PA
01
—
1231975
CIGNA
PA
01
—
7127234
AETNA
PA
01
—
FR950467
HIGHMARK BCBS
PA
Enumeration date
05/27/2006
Last updated
11/17/2010
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