Individual
DR. JASON T. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 E LANCASTER AVE, WYNNEWOOD, PA 19096-3430
(484) 380-2808
(484) 416-3942
Mailing address
6 E LANCASTER AVE, WYNNEWOOD, PA 19096-3430
(484) 380-2808
(484) 416-3942
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD436780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024793090001
—
PA
05
—
1024793090003
—
PA
Enumeration date
05/17/2007
Last updated
04/05/2017
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