Dr Bradley A Bisk Pa

NPI 1043363906 - Family Medicine - 207Q00000X

NPI Details
NPI 1043363906
Enumeration Date 01/22/2007
Last Updated 09/14/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRADLEY A BRADLEY
Position PRESIDENT
Phone (609) 340-4475
Fax (609) 343-5205
Practice Location
BRIGHTON AND BOARDWALK
TROPICANA MEDICAL UNIT
ATLANTIC CITY NJ, 08401, US
Phone (609) 340-4475
Fax (609) 343-5205
Business Location
1701 EAST DRIVE
VENTNOR NJ, 08406, US
Phone (609) 487-0485
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MB53615
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According to our database, Dr Bradley A Bisk Pa NPI is 1043363906, taxonomy code is 207Q00000X and license number is MB53615, license state is located at New Jersey. Dr Bradley A Bisk Pa physically located at Brighton And Boardwalk, Atlantic City NJ, 08401. NPI Number 1033115704 has the healthcare provider type.

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1043363906 NPI number is provided on an as is basis without warranty of any kind. 1043363906 is maintained by the National Plan & Provider Enumeration System. The contents of Dr Bradley A Bisk Pa are for informational purposes only.