Braver, John M
Braver, John M is an individual health care provider with primary practice located at 75 Francis St Radiology, Brigham & Women'S Hospital, Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Braver, John M can be contacted via phone (617) 732-6295.Contact Information
Primary practice address
75 Francis St Radiology, Brigham & Women'S Hospital
Boston MA 02115-6110
Phone: (617) 732-6295
Fax: (617) 535-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 37202 | Massachusetts |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 37202 | Massachusetts |
Profile Details
| NPI number | 1760470058 |
|---|---|
| LBN Legal business name | Braver, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 2nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760470058 | NPPES |
| Massachusetts | MEDICAID | 2057398 | |
| Massachusetts | Other | M09556 | |
| Massachusetts | Other | 037202 |
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