Individual
GLENN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 886-3372
(475) 246-9503
Mailing address
LAWRENCE AND MEMORIAL HOSPITAL DEPT OF ANESTHESIA, 365 MONTAUK AVE, NEW LONDON, CT 06320
(860) 886-3372
(475) 246-9503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
044060
CT
207L00000X
Anesthesiology Physician
16786
RI
207L00000X
Anesthesiology Physician
252651
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
044060
CT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
252651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440601
—
CT
Enumeration date
07/26/2006
Last updated
09/11/2025
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