Individual
GLENN ROBERT BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
909 ELIZABETH AVE, ELIZABETH, NJ 07201-2710
(908) 629-0779
(908) 629-0804
Mailing address
56 LEIGH ST, CLINTON, NJ 08809-1349
(908) 238-9913
(973) 484-2920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00547600
NJ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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