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MR. SAMUEL REED GRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
Mailing address
100 MCGREGOR STREET, MANCHESTER, NH 03102

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
019735
NY
363AM0700X
Medical Physician Assistant
Primary
1287
NH

Other

Enumeration date
06/22/2016
Last updated
03/17/2018
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