Provider Demographics
NPI:1578739199
Name:BRAUNSTEIN, SCOTT N (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:N
Last Name:BRAUNSTEIN
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 1:18 THAMES DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3416
Mailing Address - Country:US
Mailing Address - Phone:973-758-9296
Mailing Address - Fax:973-758-1255
Practice Address - Street 1:18 THAMES DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3416
Practice Address - Country:US
Practice Address - Phone:973-758-9296
Practice Address - Fax:973-758-1255
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ60504207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine