Individual
DR. JOHN GREG BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
798 HAUSMAN RD, SUITE 310, ALLENTOWN, PA 18104-9108
(610) 432-0200
(610) 432-0202
Mailing address
798 HAUSMAN RD, SUITE 310, ALLENTOWN, PA 18104-9108
(610) 432-0200
(610) 432-0202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS004677L
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS004677L
PA
207NS0135X
Procedural Dermatology Physician
OS004677L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50094289
CAPITAL BC
PA
01
—
735359
HIGHMARK BS
PA
Enumeration date
10/04/2005
Last updated
01/22/2015
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