Individual
BRADLEY OSEMWENGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 896-9165
Mailing address
2621 CEDAR VIEW DR, ARLINGTON, TX 76006-2818
(817) 734-9964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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