Mikaela K Bradley, PA-C
Physician Assistant in Livingston, NJ. Individual provider (NPI-1).
NPI number1417677758
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1417677758
- Entity type
- Individual (NPI-1)
- Name
- Miss Mikaela K Bradley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00723200 | NJ | Yes |
Practice location
200 S Orange Ave Ste 230Livingston, NJ 07039-5817
Phone 973-322-7005
Mailing address
200 S Orange Ave Ste 230Livingston, NJ 07039-5817
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All 80 Physician Assistant providers in Livingston · All 2,321 providers in Livingston
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