Individual
BRADFORD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5334
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2001-01555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801211301
—
MD
Enumeration date
10/13/2006
Last updated
06/03/2016
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