Individual
DR. TIMOTHY P BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELLIOT WAY, ELLIOT EMERGENCY MEDICINE, MANCHESTER, NH 03103-3502
(603) 336-2830
(603) 663-1849
Mailing address
1 ELLIOT WAY, ELLIOT EMERGENCY MEDICINE, MANCHESTER, NH 03103-3502
(603) 336-2830
(603) 663-1849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
010247477
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
16153
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2007
Last updated
06/13/2013
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