DR. Bradley Evan Minter, M.D.

NPI #1578901542 in Port Jefferson, New York

Provider Information

NPI Number: 1578901542
Entity Type: Individual
Name: DR. Bradley Evan Minter, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 11, 2013
Last Updated: Jul 30, 2021

Practice Location

Address: 75 N COUNTRY RD
City: Port Jefferson
State: New York
ZIP Code: 11777-2119
Phone: (631) 686-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Hospitalist	208M00000X

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