Individual
DR. BRADLEY J ENGWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 MILVIA ST, STE 450, BERKELEY, CA 94704-2685
(510) 559-1819
(510) 559-1819
Mailing address
2020 MILVIA ST, STE 450, BERKELEY, CA 94704-2685
(510) 559-1819
(510) 559-1819
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A62477
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A62477
CA
Other
Enumeration date
01/29/2007
Last updated
01/08/2014
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