Peter S Bradshaw, M.D.
Internal Medicine in Lowell, MA. Individual provider (NPI-1).
NPI number1083770903
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083770903
- Entity type
- Individual (NPI-1)
- Name
- Peter S Bradshaw
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 41291 | MA | Yes |
Practice location
77 E Merrimack StSuite 15
Lowell, MA 01852-1251
Phone 978-459-3341
Mailing address
77 E Merrimack StSuite 15
Lowell, MA 01852-1251
Phone 978-459-3341
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