MEDICARE: BRADLEY A FINK DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0801X	Orthopaedic Trauma Physician
2	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DB4917	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3433568	OTHER		AETNA
2	2140813000	OTHER	PA	PERSONAL CHOICE
4	001451359	OTHER		BC/BS

General Provider Information

NPI Number	:	1750364303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADLEY A FINK DO PC

Provider Business Mailing Address
First Line	:	1411 WOODBOURNE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-1504
Country	:	US
Telephone Number	:	215-943-8900
Fax Number	:	215-943-5002

Provider Business Practice Location Address
First Line	:	1411 WOODBOURNE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-1504
Country	:	US
Telephone Number	:	215-943-8900
Fax Number	:	215-943-5002

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRADLEY A FINK
Credential	:	DO
Telephone Number	:	215-943-8900

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	12/11/2008

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Directions to “BRADLEY A FINK DO PC ” Practice Location

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