Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101233230 | VA |
N | 111NI0900X | Internist | 0101233230 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101233230 | VA |
Y | 207RI0011X | Interventional Cardiology | D0088825 | MD |
NPI | 1013978311 |
---|---|
Provider Name | Dr. Bradley A. Serwer |
First Address | Bethesda, MD 20814-1607 |
Second Address | Bethesda, MD 20889-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/10/2020 |