Individual
MARY GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 PORTLAND SQ STE 201, PORTLAND, ME 04101-4088
(207) 607-4022
(207) 613-5048
Mailing address
14 MAINE ST STE 309, BRUNSWICK, ME 04011-2033
(207) 607-4022
(207) 613-5048
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD25177
ME
Other
Enumeration date
03/23/2018
Last updated
11/21/2023
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