Individual
DR. STEPHEN P. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 BORTHWICK AVE, SUITE 201 WEST, PORTSMOUTH, NH 03801
(603) 433-9575
(603) 430-4905
Mailing address
280 MERRIMACK ST STE 311, LAWRENCE, MA 01843-1779
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
156248
MA
207ND0900X
Dermatopathology Physician
Primary
14056
NH
207ND0900X
Dermatopathology Physician
156248
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA42992
HARVARD
—
01
—
J21202
BCBS MASSACHUSETTS
MA
01
—
P00293815
RAILROAD MEDICARE
MA
Enumeration date
09/13/2006
Last updated
12/03/2018
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