Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MA079106 | NJ |
Y | 2080P0205X | Pediatric Endocrinologist | MA079106 | NJ |
NPI | 1285723874 |
---|---|
Provider Name | Ieva Braziuniene |
First Address | Camden, NJ 08103-1438 |
Second Address | Camden, NJ 08103-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 01/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0081124 | (05) | NJ |
010007638 | AMERICHOICE (01) | NJ |
1786414 | AMERIHEALTH PPO/IBC (01) | NJ |
2566050 | UNITED HEALTHCARE (01) | NJ |
2623623000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
3970985 | AETNA (01) | NJ |
3K5983 | HEALTHNET (01) | NJ |
60019731 | HORIZON NJ HEALTH (01) | NJ |
9433703 | CIGNA (01) | NJ |
I43384 | (02) | |
P2753910 | OXFORD (01) | NJ |
UNIVERSITY HEALTH PL | 42283 (01) | NJ |