MEDICARE: STEVEN WAYNE 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
1	207W00000X	Ophthalmology Physician	25MA04332900	NJ

General Provider Information

NPI Number	:	1821182494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN WAYNE BRAUNSTEIN M.D.

Provider Business Mailing Address
First Line	:	7316 KENNEDY BLVD
Second Line	:	PO BOX 7266
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047
Country	:	US
Telephone Number	:	201-869-3253
Fax Number	:	201-869-8235

Provider Business Practice Location Address
First Line	:	7316 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-4035
Country	:	US
Telephone Number	:	201-869-3253
Fax Number	:	201-869-8235

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/09/2023

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