Individual
DR. CORYSE V BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-6933
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6469
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D46239
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116546
KAISER
—
01
—
250AAA53270803
CAREFIRST MD
—
01
—
55880010
CAREFIRST DC
—
01
—
5769117
AETNA PPO
—
05
—
590811600
—
MD
01
—
6801338
AETNA HMO
—
Enumeration date
05/30/2006
Last updated
12/08/2013
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