Individual
MICHAEL BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 BROADWAY, 1, CAMBRIDGE, MA 02139-1839
(617) 661-7315
Mailing address
339 BROADWAY, 1, CAMBRIDGE, MA 02139-1839
(617) 661-7315
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6164242
—
MA
Enumeration date
12/31/2006
Last updated
07/08/2007
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