Individual
KAREN R BRAVO
Active
Individual
KAREN R BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09182500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
ME80710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305651
—
NJ
05
—
259354800
—
FL
01
—
P01097924
RR MEDICARE
NJ
01
—
P01097933
RR MEDICARE
NJ
01
—
P01097970
RR MEDICARE
NJ
Enumeration date
11/30/2006
Last updated
06/23/2017
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