Individual
DR. GRANVILLE YORK BRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
10 AUER CT STE C, EAST BRUNSWICK, NJ 08816
(327) 387-2395
(327) 387-2394
Mailing address
10 AUER CT STE C, EAST BRUNSWICK, NJ 08816-5848
(327) 387-2395
(327) 387-2394
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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