Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101251843 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101251843 | VA |
NPI | 1194904474 |
---|---|
Provider Name | Dr. Bradley Cox Carofino |
First Address | Virginia Beach, VA 23462-1832 |
Second Address | Chesapeake, VA 23320-1609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 27/03/2018 |