Healthcare Provider Details

I. General information

NPI: 1750364303
Provider Name (Legal Business Name): BRADLEY A FINK DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 12/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 WOODBOURNE RD
LEVITTOWN PA
19057-1504
US

IV. Provider business mailing address

1411 WOODBOURNE RD
LEVITTOWN PA
19057-1504
US

V. Phone/Fax

Practice location:
  • Phone: 215-943-8900
  • Fax: 215-943-5002
Mailing address:
  • Phone: 215-943-8900
  • Fax: 215-943-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY A FINK
Title or Position: OWNER
Credential: DO
Phone: 215-943-8900