Individual
EDITH E BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
291 INDEPENDENCE DR, INTERNAL MEDICINE, CHESTNUT HILL, MA 02467-3628
(617) 541-6620
(617) 541-6444
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050287
TUFTS
MA
05
—
3179036
—
MA
01
—
J10692
BLUE CROSS
MA
01
—
PM465
HARVARD PILGRIM
MA
Enumeration date
01/30/2006
Last updated
06/27/2011
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