Individual
DR. THOMAS DOKUBO BRAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 WILLOW VALLEY LAKES DRIVE, SUITE 101, WILLOW STREET, PA 17584-9674
(717) 464-0286
(717) 464-0617
Mailing address
212 WILLOW VALLEY LAKES DRIVE, SUITE 101, WILLOW STREET, PA 17584-9674
(717) 464-0286
(717) 464-0617
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD444463
PA
Other
Enumeration date
06/13/2007
Last updated
02/21/2022
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