MARCELLA WOJTKOWSKY BRADWAY MD
Physician/surgeon


Address: 2660 Main St Ste 302, Bridgeport, CT 06606-5301

MARCELLA WOJTKOWSKY BRADWAY MD (Credential# 555404) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.

Business Overview

MARCELLA WOJTKOWSKY BRADWAY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037814. The credential type is physician/surgeon. The effective date is February 20, 2008. The expiration date is April 30, 2009. The business address is 2660 Main St Ste 302, Bridgeport, CT 06606-5301. The current status is inactive.

Basic Information

Licensee Name MARCELLA WOJTKOWSKY BRADWAY MD
Credential ID 555404
Credential Number 1.037814
Credential Type Physician/Surgeon
Business Address 2660 Main St Ste 302
Bridgeport
CT 06606-5301
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-06-04
Effective Date 2008-02-20
Expiration Date 2009-04-30
Refresh Date 2009-08-13

Other licenses

ID Credential Code Credential Type Issue Term Status
236000 CSP.0029465 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-25 - 2009-02-28 INACTIVE

Office Location

Street Address 2660 MAIN ST STE 302
City BRIDGEPORT
State CT
Zip Code 06606-5301

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Competitor

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City BRIDGEPORT
Zip Code 06606
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRIDGEPORT

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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