Individual
DR. BRADLEY CLARK BORLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 525-2562
Mailing address
13 TISDALE DR, DOVER, MA 02030-1644
(508) 380-4224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
59670
MA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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