Individual
THOMAS G BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Mailing address
P.O. BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000197
CT
363AS0400X
Surgical Physician Assistant
197
CT
Other
Enumeration date
06/28/2006
Last updated
10/09/2024
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