NPI 1487045860

Krisan Bradley

Practitioner Other Technician Orange, CT

Practice location

Address: 25 Boston Post Rd, Orange, CT 06477-3203
Phone: (203) 859-3695
Fax: (203) 937-2536

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence PTN.0012061 (CT)

Other Technician, Other providers in Connecticut →

Registry record

NPI: 1487045860
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2015
Record last updated: 6 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.