Individual
DR. BRADLEY IAN HERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
909 WALNUT ST, 3RD FLOOR COB, PHILADELPHIA, PA 19107-5211
(215) 955-6215
Mailing address
909 WALNUT ST, 3RD FLOOR COB, PHILADELPHIA, PA 19107-5211
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS038015
PA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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