MEDICARE: JOEL BRAVER 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
1	2085R0001X	Radiation Oncology Physician	25MA06340800	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1891791174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL BRAVER MD

Provider Business Mailing Address
First Line	:	30 REHILL AVE
Second Line	:	SUITE 1100
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-2500
Country	:	US
Telephone Number	:	908-927-8777
Fax Number	:	908-927-8764

Provider Business Practice Location Address
First Line	:	30 REHILL AVE
Second Line	:	SUITE 1100
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876
Country	:	US
Telephone Number	:	908-927-8777
Fax Number	:	908-927-8764

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/30/2018

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