Individual
DR. BRADFORD JAY SHERBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, PATHOLOGY DEPARTMENT, HARTFORD, CT 06102
(860) 545-5000
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-3212
(860) 282-0833
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
037649
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376492
—
CT
Enumeration date
08/24/2005
Last updated
04/26/2019
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