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1013070309
BRADLEY WAYNE FENTON
PHILADELPHIA, PA
NPI
1013070309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD020469E)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- BRADLEY WAYNE FENTON MD
1100 WALNUT ST SUITE #601
PHILADELPHIA, PA 19107
Phone number: 215-955-9330
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Mailing Address
-- BRADLEY WAYNE FENTON MD
1100 WALNUT ST SUITE #601
PHILADELPHIA, PA 19107
Phone number: 215-955-9330
Copy
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