Individual provider · Type 1 NPI
Jennifer Sharone Bradford, MD
Addiction Medicine (Family Medicine) Physician · Worcester, MA
NPI number
1619292976
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (774) 441-7799
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 254866 (MA) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 254866 (MA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1619292976
Jennifer Sharone Bradford, MD's National Provider Identifier is 1619292976, issued on Mar 30, 2010. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Worcester, MA. The record was last updated on Feb 10, 2025.