Braza, Thomas J

Braza, Thomas J is an individual health care provider with primary practice located at 144 Poole Rd Ste 101 , Leland NC 28451-9504. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Braza, Thomas J can be contacted via phone (910) 640-0899.

Contact Information

Primary practice address
144 Poole Rd Ste 101 Leland NC 28451-9504
Phone: (910) 640-0899
Fax: (910) 256-6039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 046046 Georgia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2012-00516 North Carolina

Profile Details

NPI number 1699883124
LBN Legal business name Braza, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 1st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699883124 NPPES
North Carolina Other 11182034 CAQH
North Carolina MEDICAID 000212917A CAQH

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