Individual
DR. JAMES O. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 820-6150
(570) 820-6174
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD032276E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001130627
—
PA
Enumeration date
04/09/2008
Last updated
08/12/2020
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