NPI 1669453445 · live from the CMS NPI Registry
Irwin M Braverman, MD
Dermatology in New Haven, CT. National Provider Identifier 1669453445, active.
NPI record
| NPI | 1669453445 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 15 York St, New Haven, CT 06510 |
| Practice phone | 203-785-4632 |
| Mailing address | Po Box 9805, 300 George St, 6th Floor, New Haven, CT 06536 |
| Enumerated | November 9, 2005 |
| Last updated | August 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 008964 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.