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Individual

MR. PAUL W BRAUNSTEIN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1417 BATTLEFIELD BLVD N, SUITE 180, CHESAPEAKE, VA 23320-4516
(757) 491-6464
(757) 491-6469
Mailing address
1417 BATTLEFIELD BLVD N, SUITE 180, CHESAPEAKE, VA 23320-4516
(757) 491-6464
(757) 491-6469

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101044559
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007400951
N.C.MEDICAID PROVIDER #
NC
05
007400951
VA
01
020037789
R.R. MEDICARE PROVIDER
GA
01
1701294
UNITED HEALTHCARE PROVIDE
VA
01
37143
OPTIMA PROVIDER #
VA
01
453902
ANTHEM PROVIDER NO
VA
01
AETNA
AETNA PROVIDER NO.
VI
01
MAMSI
MAMSI PROVIDER #
VA
Enumeration date
09/01/2005
Last updated
12/19/2012
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