Individual
CECIL ARTHUR BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2512 SAMARITAN CT, SUITE M, SAN JOSE, CA 95124-4002
(408) 356-3663
(650) 347-7671
Mailing address
2512 SAMARITAN CT, STE M, SAN JOSE, CA 95124-4002
(408) 997-9648
(408) 997-9645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C34133
CA
2084P0802X
Addiction Psychiatry Physician
C34133
CA
Other
Enumeration date
03/29/2007
Last updated
04/25/2017
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