Individual provider · NPI-1

David Bradeen, MD

Hospitalist · Rockport, ME

NPI number1417998063
StatusActive
Last updated in NPPESDec 18, 2014

Details

NPI
1417998063
Entity type
Individual (NPI-1)
Name
David Bradeen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2006
Last updated
Dec 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistMD10193MEYes
207R00000X Internal Medicine10193ME
207R00000X Internal Medicine13237NH

Practice location

4 Glen Cove Dr
Suite 5
Rockport, ME 04856-4235

Phone 207-921-5880 · Fax 207-921-5883

Mailing address

231 Atlantic St Unit 61
Keyport, NJ 07735-2045

Phone 207-236-0646

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