Individual provider · Type 1 NPI

Phillip Joel Bradshaw, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1225787443 Active

Practice location

3535 Market St Fl 2
Philadelphia, PA 19104-3317

Call (215) 746-7222 Map

Mailing address

1919 Bainbridge St
Philadelphia, PA 19146-1430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225787443

Phillip Joel Bradshaw, MD's National Provider Identifier is 1225787443, issued on Mar 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 23, 2022.