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Individual

BRADFORD ALBERT DUNGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
15 LEVIS AVE, MEDIA, PA 19063-4826
(610) 348-2256
Mailing address
15 LEVIS AVE, MEDIA, PA 19063-4826

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN521611L
PA
163WC0200X
Critical Care Medicine Registered Nurse
RN521611L
PA
163WF0300X
Flight Registered Nurse
RN521611L
PA

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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