Provider Demographics
NPI:1114247343
Name:BRADER, HILARY SMOLEN (MD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:SMOLEN
Last Name:BRADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:249 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4135
Mailing Address - Country:US
Mailing Address - Phone:267-257-1304
Mailing Address - Fax:610-710-2710
Practice Address - Street 1:551 W LANCASTER AVE STE 305
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1419
Practice Address - Country:US
Practice Address - Phone:610-710-2020
Practice Address - Fax:610-710-2710
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09709200207W00000X, 207W00000X
PAMD454640207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology