Individual
DR. BRIAN MADY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF INFECTIOUS DISEASE, WORCESTER, MA 01655-0002
(508) 856-3158
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
60305
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124070
—
MA
Enumeration date
12/01/2005
Last updated
07/08/2007
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