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Individual

DR. GRANVILLE YORK BRADY JR.

Active
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Individual

DR. GRANVILLE YORK BRADY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YB00000200
NJ
231H00000X
Audiologist
YB00002
NJ
235Z00000X
Speech-Language Pathologist
YB00002
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051233
—
NJ
Enumeration date
04/24/2006
Last updated
08/16/2019
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