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NPI Code Detail

MEDICARE: GEORGE BRAFF MD

MEDICARE: GEORGE BRAFF 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
12085R0202XDiagnostic Radiology Physician11863NH

Other Identifiers

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

General Provider Information

NPI Number : 1235179821
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE BRAFF MD
Provider Business Mailing Address
First Line : 17-17 ROUTE 208
Second Line : G BRAFF ROBERT GAREY CPA PC
City : FAIR LAWN
State : NJ
Zip : 07410-2820
Country : US
Telephone Number : 201-796-6400
Fax Number : 201-796-4110
Provider Business Practice Location Address
First Line : 600 SAINT JOHNSBURY RD
Second Line :
City : LITTLETON
State : NH
Zip : 03561-3442
Country : US
Telephone Number : 603-444-9577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/21/2022

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