Individual
MR. ALAN BRADLEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROAD ST, STE L1, CARLSTADT, NJ 07072-1029
(212) 490-6200
(866) 345-2451
Mailing address
330 BROAD ST, STE L1, CARLSTADT, NJ 07072-1029
(212) 490-6200
(866) 345-2451
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NJ
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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