Individual
VIRGINIA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
274983
MA
207RP1001X
Pulmonary Disease Physician
274983
MA
208000000X
Pediatrics Physician
274983
MA
208M00000X
Hospitalist Physician
053505
CT
Other
Enumeration date
04/11/2011
Last updated
07/22/2021
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