Individual
DR. DOUGLAS DAMIEN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 RAHWAY AVE, UNION, NJ 07083-6634
(908) 688-1999
(908) 688-8180
Mailing address
700 RAHWAY AVE, UNION, NJ 07083-6634
(908) 688-1999
(908) 688-8180
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MANJ049904
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459801
—
NJ
01
—
223537990
TAX ID #
NJ
Enumeration date
07/28/2005
Last updated
08/01/2016
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