Individual
MR. GARRY L BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 JONES RD, SUITE 2 5, FALMOUTH, MA 02540
(508) 540-9771
(508) 540-3158
Mailing address
210 JONES RD, SUITE 2 5, FALMOUTH, MA 02540
(508) 540-9771
(508) 540-3158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
81477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700749
UNITED HEALTH CARE
—
05
—
3141055
—
MA
01
—
759653
TUFTS
MA
01
—
801528
HPHC
MA
01
—
B48181
BCBS
MA
Enumeration date
11/20/2006
Last updated
02/03/2011
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