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Individual

MARY ELLEN BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RT(T)

Contact information

Practice address
55 PLEASANTDALE RD, WEST ROXBURY, MA 02132-6212
(617) 290-9198
Mailing address
55 PLEASANTDALE RD, WEST ROXBURY, MA 02132-6212
(617) 290-9198

Taxonomy

Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
07241
MA
2471R0002X
Radiation Therapy Radiologic Technologist
RT001494
RI

Other

Enumeration date
09/05/2015
Last updated
09/05/2015
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