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NPI Code Detail

MEDICARE: STUART V. BRAUN M.D.

MEDICARE:   STUART V. BRAUN  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
1207XP3100XPediatric Orthopaedic Surgery PhysicianMD26259ME
2207X00000XOrthopaedic Surgery Physician222757MA

General Provider Information

NPI Number : 1013946516
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART V. BRAUN M.D.
Provider Business Mailing Address
First Line : 750 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1526
Country : US
Telephone Number : 617-636-5000
Fax Number :
Provider Business Practice Location Address
First Line : 119 GANNETT DR
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6942
Country : US
Telephone Number : 77-730-0402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 10/26/2022

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