Individual
DR. EMMANUEL DAVID BRAVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, NELSON 2 -132, BALTIMORE, MD 21287-0005
(410) 955-5608
Mailing address
600 N WOLFE ST, NELSON 2-132, BALTIMORE, MD 21287
(410) 955-5608
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4906
MD
207L00000X
Anesthesiology Physician
D67473
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D0067473
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018295800
—
MD
Enumeration date
02/01/2007
Last updated
05/21/2024
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