Individual
BRADLEY ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5410
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014800
PA
208M00000X
Hospitalist Physician
Primary
25MB09666100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534650
—
NJ
Enumeration date
05/17/2012
Last updated
02/06/2020
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