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DR. MAYA BRADY O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1104109263

Individual Registrant:
DR. MAYA  BRADY O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1933 STATE ROUTE 35 STE 120  WALL TOWNSHIP, NJ 07719-3542 US
Tel: 732-449-9503  Fax: 732-974-7120

Contact information for business:
722 WALL RD  SPRING LAKE, NJ 07762-2237 US
Tel: 732-735-0377  Fax: --

Registration Information:
NPI: 1104109263
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NJ27OA00664500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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