person
Mr. Bradley P Herold, PA-C
Surgical Physician Assistant in Derby, Connecticut
NPI 1457658791

Bradley P Herold is a Surgical Physician Assistant based in Derby, CT and is specialized in Surgical. Bradley P Herold practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Bradley P Herold is 1457658791 and holds a License No. 3050 (Connecticut).

The current practice location address for Bradley P Herold is 130 Division St, Derby, CT and can be reached out via phone at 203-735-7421.

Location: 130 Division St, Derby, CT, 06418-1328
person
Provider Profile Details
NPI Number
1457658791
Provider Name
Bradley P Herold
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
130 Division St, Derby, CT, 06418-1328
Phone Number
203-735-7421
Fax Number
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Division St
City
State
Zip
06418-1326
Phone Number
203-735-7421
Fax Number
person
Provider Business Mailing Address Details
Address
130 Division St
City
State
Zip
06418-1326
Phone Number
203-735-7421
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3050 (Connecticut)
Definition
Definition to come...
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