Individual
BRADY ROBERT FERGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18 WEST ST, BOOTHBAY HARBOR, ME 04538-1849
(207) 633-5500
(207) 633-0805
Mailing address
14 MARDEN RD, BOOTHBAY, ME 04537-5126
(207) 357-4541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2589
ME
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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