Staci Jill Braverman in Philadelphia - Pediatrics
Staci Jill Braverman - NPI 1174644777
Staci Jill Braverman is a Pediatrics in Philadelphia, Pennsylvania. Staci Jill Braverman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Staci Jill Braverman is 1174644777. The last update date is 2007-07-08.
Staci Jill Braverman's current location address is 2001 Hamilton St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2672363630 and fax number 2156131033. The mailing address for Staci Jill Braverman is 2001 Hamilton St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Jill Braverman |
|---|---|
| Address | 2001 Hamilton St, Philadelphia, Pennsylvania |
| Phone Number | 2672363630 |
| Fax Number | 2156131033 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1174644777 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2001 Hamilton St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191304201 |
| Phone Number | 2672363630 |
| Fax Number | 2156131033 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT015040 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identifier code issued to Staci Jill Braverman by the Centers for Medicare & Medicaid Services?
The Staci Jill Braverman has been assigned the NPI (National Provider Identifier) 1174644777. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Staci Jill Braverman?
The Staci Jill Braverman is situated at 2001 Hamilton St, in the city of Philadelphia, state of PA, with the zip code 191304201.
What is Staci Jill Braverman's area of expertise and its corresponding taxonomy classification?
The Staci Jill Braverman's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1174644777 assigned to Staci Jill Braverman?
The Staci Jill Braverman was issued its 1174644777 on 2007-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Staci Jill Braverman most recently updated?
The details pertaining to the Staci Jill Braverman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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