Individual
DR. WILLIAM A BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 CORNELIA ST, SUITE 101, PLATTSBURGH, NY 12901-2318
(518) 562-7990
(518) 562-7991
Mailing address
210 CORNELIA ST, SUITE 101, PLATTSBURGH, NY 12901-2318
(518) 562-7990
(518) 562-7991
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7830
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002420
—
NH
Enumeration date
12/22/2005
Last updated
08/03/2011
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