Individual
JANE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2285
(781) 849-2452
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 421-2508
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001295
TUFTS
MA
01
—
0027935
NHP
MA
05
—
0317179
—
MA
01
—
334065
HPHC
MA
01
—
7380911-001
HEALTHSOURCE
MA
01
—
7389011-001
CIGNA
MA
01
—
Y71099
BCBS
MA
Enumeration date
12/22/2006
Last updated
05/17/2011
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