Individual
ALIZA S BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 N 15TH ST, 6TH FLOOR STE. 6144 MS 426, PHILADELPHIA, PA 19102-1101
(215) 762-8252
(215) 246-5913
Mailing address
245 N 15TH ST, 6TH FLOOR STE. 6144 MS 426, PHILADELPHIA, PA 19102-1101
(215) 762-8252
(215) 246-5913
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD437729
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08674874
—
MS
05
—
162826001
—
AR
05
—
206279309
—
MO
05
—
3825130
—
TN
01
—
4136487
BCBS TN
TN
01
—
7129867
AETNA
—
01
—
84169
BCBS AR
AR
Enumeration date
08/31/2006
Last updated
10/12/2009
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