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Individual

ELIZABETH W. BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 WASON AVENUE, SPRINGFIELD, MA 01107-1179
(413) 794-5265
(413) 794-1794
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
(413) 794-1629

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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