Individual
JODI BRADY-OLYMPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 W GOVERNOR RD STE 200, HERSHEY, PA 17033-2310
(717) 531-7235
(717) 531-0067
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD426343
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013234750001
—
PA
Enumeration date
05/16/2006
Last updated
01/24/2020
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