GRACE UROLOGICAL INC
Urology at Clark Ave, Brattleboro, VT

License number
Vermont 420008109
Category
Radiology
Type
Urology
Owner
Name: JOHN S.F. DALY M.D.
Title: PRESIDENT
Phone: (802) 257-4265
Address
Address
191 Clark Ave SUITE 1, Brattleboro, VT 05301
National Provider ID: 1699819227
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRACE UROLOGICAL, INC

191 Clark Ave STE 1, Brattleboro, VT 05301

Industry:
Medical Doctor's Office
Registration:
Oct 3, 2014
Phone:
(802) 257-4265 (Phone)
State ID:
001148638
Business type:
Foreign Corporation
Office Managers:
John Sf Daly (President, Medical Doctor), 191 Clark Ave STE 1, Brattleboro, VT 05301 (Physical),Elaine Grant (Office Manager),Pam A. Meihak (Office Manager)
Agent:
P. Timothy Mcmahon,23 College St STE 7, South Hadley, MA 01075 (Physical)
Categories:
Men's Health Physicians & Surgeons, Physicians & Surgeons
In practice since:
1993
Additional:
Urology

GRACE UROLOGICAL INC

191 Clark Ave, Brattleboro, VT

Registration:
Jan 21, 1993
State ID:
0109630
Business type:
Domestic Profit Corporation
Agent:
Potter Stewart Jr Law Office,191 Clark Ave, Brattleboro, VT (Mailing)
205 Main St, Brattleboro, VT (Physical)

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