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Individual

DR. DANIEL BRAINUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1910 WASHINGTON VALLEY RD, MARTINSVILLE, NJ 08836-2026
(732) 560-1990
(732) 356-6333
Mailing address
1910 WASHINGTON VALLEY RD, MARTINSVILLE, NJ 08836-2026
(732) 560-1990
(732) 356-6333

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01757
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0073721000
AMERIHEALTH
NJ
01
009249
GHI
NY
01
0217272
CIGNA
NJ
05
0284009
NJ
01
112143
AETNA
NJ
01
11796
OPERATING ENG. LOCAL #825
NJ
Enumeration date
12/06/2006
Last updated
07/08/2007
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