Individual
DR. BRADLEY A FELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE PARK WAY, SENECA, PA 16346-0802
(814) 676-5444
(814) 676-0342
Mailing address
PO BOX 802, ONE PARK WAY, SENECA, PA 16346-0802
(814) 676-5444
(814) 676-0342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD056270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015982500005
—
PA
Enumeration date
01/25/2006
Last updated
06/13/2011
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