Provider Demographics
NPI:1609561455
Name:CONLIN, BRADLEY F (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:F
Last Name:CONLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:GME ADMIN
Mailing Address - Street 2:1200 EAST BROAD STREET, BOX 980257
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-828-9783
Mailing Address - Fax:
Practice Address - Street 1:1200 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5023
Practice Address - Country:US
Practice Address - Phone:804-827-0561
Practice Address - Fax:804-827-1078
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA1609561455207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology