Provider Demographics
NPI:1467550657
Name:BRAWER, ARTHUR EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:EDWARD
Last Name:BRAWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MORRIS AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740
Mailing Address - Country:US
Mailing Address - Phone:732-870-3133
Mailing Address - Fax:732-222-0824
Practice Address - Street 1:170 MORRIS AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740
Practice Address - Country:US
Practice Address - Phone:732-870-3133
Practice Address - Fax:732-222-0824
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03108800207RR0500X
MA35935207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BR054881Medicare ID - Type Unspecified
B73201Medicare UPIN