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Individual

DR. HERBERT J BRADFORD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
401 LITTLE MARVEL CT, PASADENA, MD 21122-3871
(410) 255-1807
Mailing address
401 LITTLE MARVEL CT, PASADENA, MD 21122-3871
(410) 255-1807

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1460
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1150334
AETNA HMO
MD
01
3124181
ACN
MD
01
448C
BLUE CROSS BLUE SHIELD
MD
01
5236136
AETNA PPO
MD
01
5677062
FIRST HEALTH
MD
01
640073
UNITED HEALTHCARE
MD
Enumeration date
01/04/2007
Last updated
07/08/2007
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