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NPI Code Detail

MEDICARE: BRADLEY A CONNOR MD

MEDICARE: BRADLEY A CONNOR MD
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
1207RG0100XGastroenterology Physician149337NY

General Provider Information

NPI Number : 1366529620
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY A CONNOR MD
Provider Business Mailing Address
First Line : 50 E 69 STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10021-5016
Country : US
Telephone Number : 212-988-2800
Fax Number : 212-988-5340
Provider Business Practice Location Address
First Line : 50 E 69 STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10021-5016
Country : US
Telephone Number : 212-988-2800
Fax Number : 212-988-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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