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Individual

DAVID BRADEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 GLEN COVE DR, SUITE 5, ROCKPORT, ME 04856-4235
(207) 921-5880
(207) 921-5883
Mailing address
231 ATLANTIC ST UNIT 61, KEYPORT, NJ 07735-2045
(207) 236-0646

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10193
ME
207R00000X
Internal Medicine Physician
13237
NH
208M00000X
Hospitalist Physician
Primary
MD10193
ME

Other

Enumeration date
06/08/2006
Last updated
12/18/2014
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