Organization
BRMS OB/GYN
Active
Parent organization
BRADFORD REGIONAL MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADFORD REGIONAL MEDICAL SERVICES
Authorized official
RHONDA K CHILSON RN (DIRECTOR OF PRACTICE MANAGEMENT)
(814) 362-8277
Entity
Organization
Contact information
Practice address
159 INTERSTATE PKWY, BRADFORD, PA 16701-1013
(814) 368-3123
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD024058E
PA
Other
Enumeration date
04/27/2009
Last updated
12/21/2017
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