Provider Demographics
NPI:1609905868
Name:HARDING, BRADFORD J (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:J
Last Name:HARDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:174 WEST ST
Mailing Address - Street 2:SUITE 200, BOX 1
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-3434
Mailing Address - Country:US
Mailing Address - Phone:860-269-7011
Mailing Address - Fax:860-269-7004
Practice Address - Street 1:174 WEST ST
Practice Address - Street 2:SUITE 200, BOX 1
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-3434
Practice Address - Country:US
Practice Address - Phone:860-269-7011
Practice Address - Fax:860-269-7004
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2011-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT032629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine