Timothy P Brady DDS PC
Organization Active NPI Optometrist · Tamuning, GU
NPI 1750698494 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1750698494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- TIMOTHY P BRADY DDS PC
- Practice address
- 140 Punzalan St
Tamuning, GU 96913-3441 - Phone
- (671) 646-8462
- NPI assigned
- Sep 1, 2010
- Organization subpart
- No
Authorized official
- Name
- Timothy P Brady
- Title
- Owner
- Phone
- (671) 646-8462
Practitioners 2
-
Timothy P. Brady, D.D.S.
National Provider Directory
Locations
140 Punzalan St
Tamuning, GU 96913
Phone (671) 646-8462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
140 Punzalan St
Tamuning, GU 96913-3441
Mailing address
140 Punzalan St
Tamuning, GU 96913-3441
Phone (671) 646-8462
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.