Individual
MARY E BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 SPARTA AVENUE, SUITE 104, #317, SPARTA, NJ 07871
(973) 200-6080
Mailing address
270 SPARTA AVENUE, SUITE 104, #317, SPARTA, NJ 07871
(973) 200-6080
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA063477
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8110808
—
NJ
Enumeration date
09/16/2006
Last updated
12/05/2024
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