Individual
KATIE O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BRIGHTON RD STE 208, CLIFTON, NJ 07012-1665
(201) 424-2999
Mailing address
98 VALLEY RD, GLEN ROCK, NJ 07452-1723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11287400
NJ
Other
Enumeration date
06/11/2015
Last updated
09/06/2023
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