| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRADLEY JAMES SANDELLA | 1184751042 | 2024-03-10 |
Bradley J Sandella [M] graduated in 2006 from Philadelphia College Of Osteopathic Medicine and primarily specializes in Sports Medicine.
Bradley James Sandella is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184751042. Registration indicates Bradley James Sandella is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine (Family Medicine: Sports Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Sports Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, )
| PECOS ID | 1355534793 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Bradley James Sandella D.O. |
| Practice Office Address | 501 W 14TH ST WILMINGTON, DE US |
| Practice Office Telephone | 3023209420 |
| Mailing Address | 501 W 14TH ST WILMINGTON, DE 198011013 US |
| Business Telephone | 3023209420 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1401 Foulk Rd Suite 100 | Wilmington, DE 198032763 | 3024773300 |
| Code | Practice | License No State |
|---|---|---|
| 207QS0010X PRIMARY | Allopathic & Osteopathic Physicians Family Medicine Family Medicine: Sports Medicine Primary Care/Family Planning/APRN/PA Family Medicine Sports Medicine Allopathic & Osteopathic Physicians Family Medicine | C2-0010025
DE |