Individual
BRAXTON L HILLERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 WASHINGTON ST, SUITE 204, WATERTOWN, NY 13601-4063
(315) 788-1751
(315) 788-9021
Mailing address
826 WASHINGTON ST, SUITE 204, WATERTOWN, NY 13601-4063
(315) 788-1751
(315) 788-9021
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
161338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00878313
—
NY
Enumeration date
09/22/2005
Last updated
07/08/2007
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