Provider Demographics
NPI:1235122565
Name:BRAUNSTEIN, ANDREW STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:STUART
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:661 E ALTAMONTE DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5102
Mailing Address - Country:US
Mailing Address - Phone:407-339-4324
Mailing Address - Fax:407-339-3843
Practice Address - Street 1:661 E ALTAMONTE DR
Practice Address - Street 2:SUITE 216
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5102
Practice Address - Country:US
Practice Address - Phone:407-339-4324
Practice Address - Fax:407-339-3843
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0046852208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700088OtherUNITED HEALTHCARE
2114362OtherAETNA
205182OtherAV MED
4075031OtherAETNA
0759493012OtherCIGNA
08443OtherBCBS
205182OtherAV MED
1700088OtherUNITED HEALTHCARE
4075031OtherAETNA