Doctor Name: | JOHN M BRAVER |
NPI Number: | 1760470058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 37202 |
Business Practice Address: | 75 Francis St Radiology, Brigham & Women's Hospital Boston, MA - 021156110 |
Business Phone Number: | 6177326295 |
Business Fax Number: | 6175357333 |
Mailing Address: | 75 Francis St, Radiology, Brigham & Women's Hospital BOSTON |
State: | MA |
Postal Code: | 021156110 |
Phone Number: | 6177326295 |
Fax Number: | 6172645151 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 37202 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |