Dr. Bradley B Pua, MD
Radiology, Vascular & Interventional Radiology in New York, NY. Individual provider (NPI-1).
NPI number1063664530
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1063664530
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley B Pua
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2008
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 239766 | NY | Yes |
Practice location
525 E 68th StPayson Pavilion 5
New York, NY 10065-4870
Phone 212-746-2681 · Fax 212-746-8463
Mailing address
525 E 68th StPayson Pavilion 5
New York, NY 10065-4870
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