Porter, Bradford J.
Porter, Bradford J. is an individual health care provider with primary practice located at 94 Brick Rd West Jersey Medical Plaza Suite 100, Marlton NJ 08053-2179. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Porter, Bradford J. can be contacted via phone (856) 596-9099.Contact Information
Primary practice address
94 Brick Rd West Jersey Medical Plaza Suite 100
Marlton NJ 08053-2179
Phone: (856) 596-9099
Fax: (856) 596-6715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DI14482 | New Jersey |
Profile Details
| NPI number | 1619965407 |
|---|---|
| LBN Legal business name | Porter, Bradford J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619965407 | NPPES |
| New Jersey | MEDICAID | 1126903 |
Popular Providers
-
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Peacock, Edgar Harold
2750 Laurel St Ste 202, Columbia SC 29204-2024 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Blake, Melvin Arnold
600 Rt 73 N Suite 9A, Marlton NJ 08053 -
Brillman, Robert
4 Ridings Way , West Chester PA 19382-7488 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Nguyen, Cyndi T
1000 Lincoln Dr E Ste 3A , Marlton NJ 08053-1566