Organization
THE BRADLEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FOX (CEO)
(412) 788-8219
Entity
Organization
Contact information
Practice address
5180 CAMPBELLS RUN RD, PITTSBURGH, PA 15205-9731
(412) 788-8219
(412) 788-2979
Mailing address
5180 CAMPBELLS RUN RD, PITTSBURGH, PA 15205-9731
(412) 788-8219
(412) 788-2979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000018
—
PA
Enumeration date
03/31/2016
Last updated
03/31/2016
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