Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 222757 | MA |
NPI | 1013946516 |
---|---|
Provider Name | Stuart V. Braun |
First Address | Boston, MA 02111-1526 |
Second Address | Boston, MA 02111-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |