MEDICARE: KAREN-GAIL BRANDSE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	153724	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	66192	OTHER	MA	HPHC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	153724	OTHER	MA	TUFTS
4	J18201	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1588645790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN-GAIL BRANDSE MD

Provider Business Mailing Address
First Line	:	67 UNION ST
Second Line	:	SUITE 104
City	:	NATICK
State	:	MA
Zip	:	01760-7700
Country	:	US
Telephone Number	:	508-647-9807
Fax Number	:	508-647-9809

Provider Business Practice Location Address
First Line	:	67 UNION ST
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-7700
Country	:	US
Telephone Number	:	508-650-7640
Fax Number	:	508-650-7814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	02/19/2010

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Directions to “ KAREN-GAIL BRANDSE MD” Practice Location

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