Individual
BRADFORD PERHAM MERSEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 BAILEY AVE, PRIMARY CARE GROUP 2, BUFFALO, NY 14215-1129
(716) 862-3641
Mailing address
3495 BAILEY AVE, PRIMARY CARE GROUP 2, BUFFALO, NY 14215-1129
(716) 862-3641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172072
NY
Other
Enumeration date
11/14/2005
Last updated
12/16/2014
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