BRADLEY P HEROLD

DERBY, CT
NPI1457658791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  3050)
Enumeration Date2011-02-23
Last Update Date2018-10-12
Business Address
Mr. BRADLEY P HEROLD PA-C
130 DIVISION ST
DERBY, CT 06418-1326
Phone number: 203-735-7421
Mailing Address
Mr. BRADLEY P HEROLD PA-C
67 MAPLE AVE
DERBY, CT 06418-1328
Phone number: 203-732-1330