Bradford, Leslie S

Bradford, Leslie S is an individual health care provider with primary practice located at 100 Campus Dr Ste 125 , Scarborough ME 04074-7171. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Bradford, Leslie S can be contacted via phone (207) 883-0069.

Contact Information

Primary practice address
100 Campus Dr Ste 125 Scarborough ME 04074-7171
Phone: (207) 883-0069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 242806 Massachusetts
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 242806 Massachusetts

Profile Details

NPI number 1124063441
LBN Legal business name Bradford, Leslie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 18th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124063441 NPPES
Maine Other E400422717 MEDICARE
Maine MEDICAID 110085476A MEDICARE
Maine Other E400422720 MEDICARE

Popular Providers