Individual
ELIZABETH W. BRADY
Active
Individual
ELIZABETH W. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
270355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003031 001
CIGNA
CT
05
—
001261296
—
CT
01
—
010026129CT03
ANTHEM BCBS
CT
01
—
026129-0403
CONNECTICARE
CT
01
—
06-1406459
COLONIAL COOPERATIVE CARE
CT
01
—
061200871
GREAT WEST HEALTHCARE
CT
01
—
0S2066
HEALTH NET
CT
01
—
10790
HEALTH NEW ENGLAND
CT
01
—
3163547
MASSHEALTH
MA
01
—
782084
AETNA
CT
01
—
P825539
OXFORD
CT
Enumeration date
08/09/2005
Last updated
01/18/2018
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