Search › Pennsylvania › 103TC1900X
Bradley Wolgast
NPI 1457012767 · on the registry since 2022 · sole proprietor
Practice
- Address
- 221 N Olive St
Media, PA 19063 - Phone
- (484) 442-0849
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TC1900X
- Licence states on file
- DE, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania