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Organization

BRADEN PARTNERS LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
20 S LINDEN AVE, STE 5B, SOUTH SAN FRANCISCO, CA 94080
(866) 945-8489
(650) 266-3419
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME03208F
CA
Enumeration date
08/17/2006
Last updated
10/13/2025
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