Braddock, Adam
Braddock, Adam is an individual health care provider with primary practice located at 7910 Frost St Suite 350, San Diego CA 92123-2771. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Braddock, Adam can be contacted via phone (858) 496-4800.Contact Information
Primary practice address
7910 Frost St Suite 350
San Diego CA 92123-2771
Phone: (858) 496-4800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | A114671 | California |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125-053642 | Illinois |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A114671 | California |
Profile Details
NPI number | 1013163542 |
---|---|
LBN Legal business name | Braddock, Adam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2008 |
Last updated | May 6th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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