Individual
BRADLEY JAY HARTGERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVE., BETHESDA, MD 20889-0001
(301) 295-4455
(301) 295-5063
Mailing address
3605 HUSTED DRIVE, CHEVY CHASE, MD 20815
(301) 915-0380
(301) 295-5063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704161718
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164647
VA
Other
Enumeration date
11/29/2006
Last updated
10/15/2021
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