Individual
BARRY ALAN BRAVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 S BROAD ST, SUITE 300, PHILA, PA 19148-1536
(215) 463-5333
(215) 463-8085
Mailing address
207 N BROAD ST FL 3, PHILA, PA 19107-1500
(215) 463-5333
(215) 463-8085
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD037092E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012390380007
—
PA
Enumeration date
08/11/2005
Last updated
07/07/2023
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