Individual
DR. EVAN MARK BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
401 NORTH BROADWAY, ROOM 1363, BALTIMORE, MD 21231-1146
(410) 955-8893
(410) 955-8587
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6421
(410) 955-8587
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D72008
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D72008
LICENSE
MD
Enumeration date
03/24/2009
Last updated
09/03/2021
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