Bradley, Jason T.

Bradley, Jason T. is an individual health care provider with primary practice located at 6 E Lancaster Ave , Wynnewood PA 19096-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bradley, Jason T. can be contacted via phone (484) 380-2808.

Contact Information

Primary practice address
6 E Lancaster Ave Wynnewood PA 19096-3430
Phone: (484) 380-2808
Fax: (484) 416-3942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD436780 Pennsylvania

Profile Details

NPI number 1316154255
LBN Legal business name Bradley, Jason T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 5th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316154255 NPPES
Pennsylvania MEDICAID 1024793090003
Pennsylvania MEDICAID 1024793090001

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