Individual
MARCELLA W BRADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 NORTH ST, SUITE 605, PITTSFIELD, MA 01201-4147
(413) 447-2745
(413) 346-6703
Mailing address
93 RIDGE AVE, PITTSFIELD, MA 01201-1442
(413) 447-2745
(413) 346-6703
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
037814
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001378141
—
CT
Enumeration date
06/23/2005
Last updated
06/26/2012
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