Healthcare Provider Details

I. General information

NPI: 1235292855
Provider Name (Legal Business Name): GEORGE J BRAUN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 38TH ST
NEW YORK NY
10016-2505
US

IV. Provider business mailing address

38 E 38TH ST
NEW YORK NY
10016-2505
US

V. Phone/Fax

Practice location:
  • Phone: 212-685-4430
  • Fax: 212-685-4434
Mailing address:
  • Phone: 212-685-4430
  • Fax: 212-685-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number159405
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: