Individual
OMEGA M BONNELL-BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5200
(781) 431-5298
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
382
MA
363AM0700X
Medical Physician Assistant
382
MA
Other
Enumeration date
04/11/2006
Last updated
11/05/2015
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