Provider Information for 1992893127
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Dr. BRADLEY ARDEN RADWANER M.D
Sex: Male
NPI: 1992893127
Last Updated: 2014-10-23
Certification Date:
Certification Date:
Details
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NPI | 1992893127 | ||||||||||||
Enumeration Date | 2006-10-11 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 136 E. 57TH ST. SUITE 1001 NEW YORK, NY 10022 United States Phone: 212-717-0666 | Fax:212-717-2399 | ||||||||||||
Primary Practice Address | 136 E. 57TH ST. SUITE 1001 NEW YORK, NY 10022 United States Phone: 212-717-0666 | Fax:212-717-2399 | ||||||||||||
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