Individual
DR. ROBERT A BRAUTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
5 FRANKLIN AVE, SUITE 406, BELLEVILLE, NJ 07109-3532
(973) 759-4499
Mailing address
5 FRANKLIN AVE, SUITE 406, BELLEVILLE, NJ 07109-3532
(973) 759-4499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA06991700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8812608
—
NJ
Enumeration date
12/04/2006
Last updated
07/09/2007
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