Provider Demographics
NPI:1275813727
Name:LIEFMANN, BRAUN (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRAUN
Middle Name:
Last Name:LIEFMANN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5363
Mailing Address - Country:US
Mailing Address - Phone:732-776-7140
Mailing Address - Fax:732-775-5864
Practice Address - Street 1:806 5TH AVE
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-5363
Practice Address - Country:US
Practice Address - Phone:732-776-7140
Practice Address - Fax:732-775-5864
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02459400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist