Fenster, Bradley D

Fenster, Bradley D is an individual health care provider with primary practice located at 610 Wyoming Ave , Kingston PA 18704-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fenster, Bradley D can be contacted via phone (570) 283-5806.

Contact Information

Primary practice address
610 Wyoming Ave Kingston PA 18704-3702
Phone: (570) 283-5806
Fax: (570) 283-5807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD073510L Pennsylvania

Profile Details

NPI number 1952394314
LBN Legal business name Fenster, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 5th, 2022 - about 2 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 1952394314 NPPES
Pennsylvania Other 069319L3F GROUP MEMBER PTAN

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