Organization

John A. Bradford M.D., P.A.

Specialist in Bangor, ME(View on Map)

Legal Business Name

John A. Bradford M.D., P.A.

NPI Number

1255667226

NPI Type

Organization

Enumeration Date

10/27/2009

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

011526

Contact
Information

Purpose

Mailing
Location

Address

151 BROADWAY
151 BROADWAY

City

Bangor
Bangor

State

ME
ME

Postal Code

04401-5207
04401-5207

Country

US
US

Telephone Number

(207) 945-9461
(207) 945-9461

Authorized Official

Name

Dr. John Bradford

Title or Position

OWNER/PRESIDENT

Telephone Number

(207) 945-9461

Identifiers

Identifier

116170000

Identifier State

ME

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/27/2009

Provider Address

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