Organization
BRAUNSTEIN SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENICE TARRANT (OFFICE MANAGER)
(757) 491-6467
Entity
Organization
Contact information
Practice address
1417 BATTLEFIELD BLVD N, SUITE 180, CHESAPEAKE, VA 23320-4516
(757) 491-6467
(757) 491-6469
Mailing address
1417 BATTLEFIELD BLVD N, SUITE 180, CHESAPEAKE, VA 23320-4516
(757) 491-6467
(757) 491-6469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101 044559
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101 044559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007400951
—
VA
Enumeration date
11/09/2006
Last updated
12/19/2012
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