Alan Braverman, MD, PC
Organization Active NPI Gastroenterology Physician · New Milford, CT
NPI 1710169404 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1710169404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 021985 (CT)
- Legal business name
- ALAN BRAVERMAN, MD, PC
- Practice address
- 11 Grove St
Booth House
New Milford, CT 06776-3626 - Phone
- (860) 354-5511
- Fax
- (860) 350-3122
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Alan Braverman, MD
- Title
- President
- Phone
- (860) 354-5511
Practitioners 3
-
Kenneth F Marici, MD
National Provider Directory
Locations
1 Booth House Ln
New Milford, CT 06776
Phone (860) 354-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 021985 | CT | |
| Gastroenterology Physician |
207RG0100X | 021985 | CT | Yes |
Addresses
Primary practice location
11 Grove St
Booth House
New Milford, CT 06776-3626
Mailing address
11 Grove St
Booth House
New Milford, CT 06776-3626
Phone (860) 354-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1219856 | Medicaid | CT |
Other providers in New Milford, CT
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- Ability Beyond Disability
- Angel C Abraham
- Naim Ahmed
- Dmitry Anatolyevich Albin
- Roman Alder
- Henry Coleman Allen
- Anderson Counseling and Wellness LLC
- Jan M Anderson
All providers in New Milford, CT · Gastroenterology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.