Individual
DR. GLENN BRAUNTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Mailing address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04409200
NJ
207RP1001X
Pulmonary Disease Physician
25MA04409200
NJ
Other
Enumeration date
07/27/2006
Last updated
05/04/2011
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