Bisk, Bradley Andrew

Bisk, Bradley Andrew is an individual health care provider with primary practice located at Bally'S Atlantic City Medical Unit Park Place And Boardwalk, Atlantic City NJ 08401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bisk, Bradley Andrew can be contacted via phone (609) 340-2914.

Contact Information

Primary practice address
Bally'S Atlantic City Medical Unit Park Place And Boardwalk Atlantic City NJ 08401
Phone: (609) 340-2914
Fax: (609) 345-3426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB53615 New Jersey

Profile Details

NPI number 1861417693
LBN Legal business name Bisk, Bradley Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861417693 NPPES
New Jersey MEDICAID 53406179J

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