Individual
JOHN PETER BRADY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 MAIN ST, SWOYERSVILLE, PA 18704
(570) 287-5588
(570) 287-3799
Mailing address
1212 MAIN ST, SWOYERSVILLE, PA 18704
(570) 287-5588
(570) 287-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 032377E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110016740
RRMC
—
01
—
117621800
BLACK LUNG
—
01
—
81228
BS
—
01
—
C29255
STERLING
—
Enumeration date
10/27/2006
Last updated
04/22/2008
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