Dr. Bradford Walker Ganz
Orthodontists
650 Chase Pkwy
Waterbury
, Connecticut 06708-3046
Dr. Bradford Walker Ganz
Orthodontists
650 Chase Pkwy
Waterbury
, Connecticut 06708-3046
(203) 984-6308
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Bradford Walker Ganz
- 12 Oak Ln
- Weston, CT
- Zip : 06883-1110
- Phone : (203) 984-6308
Second Address
- Dr. Bradford Walker Ganz
- 650 Chase Pkwy
- Waterbury, CT
- Zip : 06708-3046
- Phone : (203) 573-8034
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 13056 | CT |
National Provider Identifier
| NPI | 1003486911 |
|---|---|
| Provider Name | Dr. Bradford Walker Ganz |
| First Address | Weston, CT 06883-1110 |
| Second Address | Waterbury, CT 06708-3046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2021 |
| Last Update Date | 01/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.