Individual
DR. BRADLEY PAUL MACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
924 MIDDLEFORD RD, SEAFORD, DE 19973-3604
(302) 629-2229
(302) 629-2285
Mailing address
924 MIDDLEFORD RD, SEAFORD, DE 19973-3604
(302) 629-2229
(302) 629-2285
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C10004336
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000559901
—
DE
01
—
0196029 00
MARYLAND MEDICAID
DE
01
—
100010338
MEDICARE RAILROAD
DE
01
—
1939
COVENTRY
DE
01
—
2714
BLUE CROSS OF MARYLAND
DE
01
—
421862
OPT CHOICE/MDIPA
DE
01
—
505182
AETNA
DE
01
—
522065442
CARELINK
DE
01
—
PAL58270210001
CIGNA
DE
Enumeration date
10/12/2006
Last updated
03/14/2012
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