Provider Demographics
NPI:1720079502
Name:BRAUNSTEIN, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:805 RESERVE CHAMPION DR
Mailing Address - Street 2:APT 305
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6645
Mailing Address - Country:US
Mailing Address - Phone:240-912-6622
Mailing Address - Fax:240-912-6622
Practice Address - Street 1:805 RESERVE CHAMPION DR
Practice Address - Street 2:APT 305
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6645
Practice Address - Country:US
Practice Address - Phone:240-912-6622
Practice Address - Fax:240-912-6622
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03929800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1090909Medicaid
NJ1090909Medicaid
NJC54266Medicare UPIN