Individual
MICHAEL I GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 PRISCILLA RD, CHESTNUT HILL, MA 02467-3967
(617) 527-4228
Mailing address
49 PRISCILLA RD, CHESTNUT HILL, MA 02467-3967
(617) 527-4228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29403
MA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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