1639151699

Everything you always wanted to know about BRAVEMAN D BRIAN OD but were afraid to ask.

BRAVEMAN D BRIAN OD

You can also download the this 1639151699 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BRAVEMAN D BRIAN OD
Gender:
Male
Enumeration date:
2005-11-16
Last update date:
2011-02-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for BRIAN, BRAVEMAN in
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Identifiers

identifier description issuer state
1692125 Other CIGNA PAL ID none
2213103 Other FIRST HEALTH none
AA2356 Other HARVARD PILGRIM HEALTHCAR none
W17040 Medicare ID-Type Undpecified none none
042472266 Other ONE HEALTH PLAN none
61209 Other FALLON COMMUNITY HEALTH P none
787397 Other MVP HEALTH CARE none
W16360 Other BLUE CARE ELECT none
U62790 Medicare UPIN none none
042472266 Other HEALTHCARE VALUE MANAGEME none
W17040 Other MEDICARE B none
410045266 Other RAILROAD MEDICARE none
7985576 Other AETNA US HEALTHCARE none
W16360 Other BLUE SHIELD HMO BLUE none
49575 Other CHILDRENS MEDICAL SECURIT none
0335096 Other MEDICAID WELFARE none
042472266 Other THREE RIVERS none
042472266 Other PRIVATE HEALTHCARE SYSTEM none
042472266 Other TRICARE CHAMPUS none
W16360 Other BLUE SHIELD INDEMNITY none

Taxonomies

Taxonomy State License Number Primary?
152W00000X Optometrist MA 3337 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 7813291400
Practice Location Address Telephone Number 7813291400
Mailing Address Fax Number 7814619325
Practice Location Address Fax Number 7814619325

Addresses

Type Address City State Postal Country
Mailing Address 1 LYONS ST DEDHAM MA 0 MA
Practice Location Address 1 LYONS ST DEDHAM MA 0 MA

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Individual
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Individual
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Individual
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1942261987 MUNOZ, MYRIA
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1942288915 CATY, MICHELLE
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1942318571 GRAHAM, MARY ANN
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630 PLANTATION STREET MA WORCESTER Identifier: 042472266 (Other)
1952380297 MEDEIROS, JENNIFER
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135 GOLD STAR BLVD MA WORCESTER Identifier: 042472266 (Other)
1952382467 HENCZEL, HENRY
Individual
135 GOLD STAR BLVD MA WORCESTER Identifier: 042472266 (Other)
1962429449 SACK, STANLEY
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1201 WHITE ST FL KEY WEST Identifier: 042472266 (Other)
1962463893 FELDHAUS, LOUISE
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135 GOLD STAR BLVD MA WORCESTER Identifier: 042472266 (Other)
1962471003 JOSEPHS, LEON
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1962477521 FLORES-LEWIS, JANICE
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425 NORTH LAKE AVE MA WORCESTER Identifier: 042472266 (Other)
1962478008 COHEN, JEFFREY
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340 THOMPSON RD MA WEBSTER Identifier: 042472266 (Other)
1962484931 MURRAY, PAUL
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330 BROOKLINE AVE MA BOSTON Identifier: 042472266 (Other)
1972577096 CROSSLEY, SUSAN
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123 SUMMER ST MA WORCESTER Identifier: 042472266 (Other)
1972578979 ELLSWORTH, ROBERT
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135 GOLD STAR BLVD MA WORCESTER Identifier: 042472266 (Other)
1982672267 ISEN, JEFFREY
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1982686341 WHITING, JOHN
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1982702304 KISELIS, ILZE
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630 PLANTATION ST MA WORCESTER Identifier: 042472266 (Other)
1992739791 ROSIELLO, RICHARD
Individual
123 SUMMER STREET MA WORCESTER Identifier: 042472266 (Other)
1992774723 MCRAE, SIMON
Individual
123 SUMMER ST MA WORCESTER Identifier: 042472266 (Other)