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NPI Code Detail

MEDICARE: DR. EDWARD A BRAUNSTEIN M.D.

MEDICARE: DR. EDWARD A BRAUNSTEIN M.D.
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
1207W00000XOphthalmology PhysicianMA43221NJ
2208000000XPediatrics Physician156004NY
3207W00000XOphthalmology Physician156004NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003949322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD A BRAUNSTEIN M.D.
Provider Business Mailing Address
First Line : P.O. BOX 82
Second Line :
City : MANALAPAN
State : NJ
Zip : 07724
Country : US
Telephone Number : 732-239-2231
Fax Number :
Provider Business Practice Location Address
First Line : 111 WADSWORTH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10033-6102
Country : US
Telephone Number : 646-627-7544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 04/01/2025

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