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Organization

BRADFORD RADIOLOGY PC

Active
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Organization

BRADFORD RADIOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH PEARSEN MD (MD)
(716) 836-4646
Entity
Organization

Contact information

Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
05/06/2021
Last updated
08/21/2023
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