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Individual

BRAD H FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145-2328
(800) 448-6767
(215) 339-8103
Mailing address
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145-2328
(800) 448-6767
(215) 339-8103

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2008-00428
NC
207W00000X
Ophthalmology Physician
Primary
MD436983
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023411000001
PA
05
1023411000002
PA
05
1023411000003
PA
Enumeration date
04/11/2008
Last updated
12/11/2023
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