Organization
LUTHER W BRADY MD & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUTHER W BRADY M.D. (OWNER)
(215) 762-1998
Entity
Organization
Contact information
Practice address
230 N BROAD ST, M.S. #200, PHILA, PA 19102-1121
(215) 762-1998
(215) 762-1155
Mailing address
PO BOX 2284, BALA CYNWYD, PA 19004-6284
(610) 789-6533
(610) 789-6683
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD004879E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007534230001
—
PA
Enumeration date
06/07/2006
Last updated
05/13/2008
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