Denker, Bradley Mark

Denker, Bradley Mark is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Denker, Bradley Mark can be contacted via phone (617) 421-1126.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1126
Fax: (617) 421-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 59106 Massachusetts

Profile Details

NPI number 1669438727
LBN Legal business name Denker, Bradley Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 8th, 2021 - about 3 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 1669438727 NPPES
Massachusetts MEDICAID 3105776

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