Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 40QA01432300 | NJ |
N | 2251S0007X | Physical Therapist - Sports | 40QA01432300 | NJ |
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01432300 | NJ |
NPI | 1053833764 |
---|---|
Provider Name | Dr. Adam Yigal Braun |
First Address | Morristown, NJ 07960-7369 |
Second Address | Morristown, NJ 07960-7369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2017 |
Last Update Date | 12/10/2019 |