Individual
DR. PAUL S. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
994 W SHERMAN AVE BLDG 2, VINELAND, NJ 08360-6937
(631) 534-7246
(856) 457-5681
Mailing address
994 W SHERMAN AVE BLDG 2, VINELAND, NJ 08360-6937
(631) 534-7246
(856) 457-5681
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD418635
PA
2085N0700X
Neuroradiology Physician
MD418635
PA
2085R0202X
Diagnostic Radiology Physician
25MA12518800
NJ
2085R0202X
Diagnostic Radiology Physician
MD418635
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA12518800
NJ
2085R0204X
Vascular & Interventional Radiology Physician
MD418635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019066520001
—
PA
Enumeration date
06/22/2006
Last updated
03/26/2025
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