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Contact Information

RICHARD C BRADLEY, DPM
188 FRIES MILL RD STE D2
TURNERSVILLE, NJ08012
 Phone: 856-629-7300
 Fax: 856-629-8729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD C BRADLEY · (Male)

NPI Number 1265541379
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/30/2006
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00213000
  • NJ Medicaid 5172101
  • Other 0114550000 KEYSTONE AND AMERIHEALTH
  • PA Other 601173 MEDICARE-TYPE UNSPECIFIED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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