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NPI Code Detail

MEDICARE: GERALDINE M BRADY LCSW

MEDICARE: GERALDINE M BRADY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1730430281
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE M BRADY LCSW
Provider Business Mailing Address
First Line : 65 ROOSEVELT AVE
Second Line :
City : MORGANVILLE
State : NJ
Zip : 07751-9718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 RANDOLPH RD
Second Line :
City : HOWELL
State : NJ
Zip : 07731-8611
Country : US
Telephone Number : 888-744-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 06/28/2022

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