Individual
ALAN BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5511
(860) 210-2641
Mailing address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5511
(860) 210-2641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021985
CT
207RG0100X
Gastroenterology Physician
021985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100004800
RAILROAD MEDICARE
CT
05
—
1219856
—
CT
Enumeration date
05/12/2006
Last updated
02/17/2009
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