Provider Demographics
NPI:1003814542
Name:BRAUN, KAREN B (PA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:B
Last Name:BRAUN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SAND HILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4946
Mailing Address - Country:US
Mailing Address - Phone:908-782-0600
Mailing Address - Fax:908-782-7575
Practice Address - Street 1:6 SAND HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4946
Practice Address - Country:US
Practice Address - Phone:908-782-0600
Practice Address - Fax:908-782-7575
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00129100363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MP00129100OtherLICENSE
NJ25MP00129100OtherLICENSE
NJ091254ASGMedicare PIN