Organization
GRANVILLE Y BRADY JR AUD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANVILLE YORK BRADY JR. AUD (PRESIDENT)
(732) 387-2395
Entity
Organization
Contact information
Practice address
10 AUER CT STE C, EAST BRUNSWICK, NJ 08816
(732) 387-2395
(732) 387-2394
Mailing address
10 AUER CT STE C, EAST BRUNSWICK, NJ 08816-5848
(732) 387-2395
(323) 872-3947
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051233
—
NJ
05
—
3297501
—
NJ
Enumeration date
12/01/2006
Last updated
08/16/2019
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