Individual
ANATOLY BRAYLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 N MAIN STREET EXT, BUILDING 2 SUITE 1B, WALLINGFORD, CT 06492-2400
(203) 269-4200
(203) 269-8800
Mailing address
850 N MAIN STREET EXT, BUILDING 2 SUITE 1B, WALLINGFORD, CT 06492-2400
(203) 269-4200
(203) 269-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040951
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001409516
—
CT
Enumeration date
09/23/2005
Last updated
02/16/2010
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