Individual
BRADLEY NICHOLAS COTRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5320 PROVIDENCE RD STE 301, VIRGINIA BEACH, VA 23464-4122
(757) 413-7600
(757) 413-7601
Mailing address
5320 PROVIDENCE RD STE 301, VIRGINIA BEACH, VA 23464-4122
(757) 413-7600
(757) 413-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116034548
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
11/22/2023
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