Provider Demographics
NPI:1639742414
Name:ASHLEY DORAZIO-BRADFIELD DO PA
Entity Type:Organization
Organization Name:ASHLEY DORAZIO-BRADFIELD DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:D'ORAZIO-BRADFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-287-4485
Mailing Address - Street 1:2729 HIBISCUS CT
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-5090
Mailing Address - Country:US
Mailing Address - Phone:856-287-4485
Mailing Address - Fax:877-619-1003
Practice Address - Street 1:2729 HIBISCUS CT
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5090
Practice Address - Country:US
Practice Address - Phone:856-287-4485
Practice Address - Fax:877-619-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health