Organization
ALAN BRAVERMAN, MD, PC
Active
Organization
ALAN BRAVERMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRAVERMAN MD (PRESIDENT)
(860) 354-5511
Entity
Organization
Contact information
Practice address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5511
(860) 350-3122
Mailing address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5511
(860) 350-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021985
CT
207RG0100X
Gastroenterology Physician
Primary
021985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219856
—
CT
Enumeration date
12/04/2007
Last updated
12/04/2007
Update your record
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