BRADFORD S WADDELL

NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI

Dr BRADFORD S WADDELL is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2009 from Louisiana State University School Of Medicine In Shreveport.

Contact

NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI

1 BLACHLEY RD
STAMFORD
CT
069020002

Tel: 2037052388

BRADFORD S WADDELL Information

Npi 1467689265
Pac Id 7012206741
Professional Enrollment Id I20170821002985
Last Name WADDELL
First Name BRADFORD
Middle Name S
Suffix
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2009
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI
Group Practice Pac Id 2062721350
Number Of Group Practice Members 21
Line 1 Street Address 1 BLACHLEY RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City STAMFORD
State CT
Zip Code 069020002
Phone Number 2037052388
Hospital Affiliation Ccn 1 330270
Hospital Affiliation Lbn 1 HOSPITAL FOR SPECIAL SURGERY
Hospital Affiliation Ccn 2 070006
Hospital Affiliation Lbn 2 STAMFORD HOSPITAL
Hospital Affiliation Ccn 3 070018
Hospital Affiliation Lbn 3 GREENWICH HOSPITAL ASSOCIATION -
Hospital Affiliation Ccn 4 070034
Hospital Affiliation Lbn 4 NORWALK HOSPITAL ASSOCIATION
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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