Organization
BRADLEY H PADDOCK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY HOLMES PADDOCK (MD)
(518) 725-8656
Entity
Organization
Contact information
Practice address
242 E STATE ST EXT, GLOVERSVILLE, NY 12078-6039
(518) 725-8656
(518) 773-7824
Mailing address
242 E STATE ST EXT, GLOVERSVILLE, NY 12078-6039
(518) 725-8656
(518) 773-7824
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
150053
NY
Other
Enumeration date
08/18/2017
Last updated
06/16/2018
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