| Gregory Braverman Md Medical Services Inc | |
|
25 Edwards Ct Ste 102 Burlingame CA 94010-2429 | |
| (408) 688-4737 | |
| (408) 350-1895 |
| Full Name | Gregory Braverman Md Medical Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Edwards Ct Ste 102, Burlingame, California |
| Authorized Official Name and Position | Gregory Braverman (PRESIDENT) |
| Authorized Official Contact | 4086884737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Braverman Md Medical Services Inc 339 Balboa St San Francisco CA 94118-3935 Ph: (408) 688-4737 | Gregory Braverman Md Medical Services Inc 25 Edwards Ct Ste 102 Burlingame CA 94010-2429 Ph: (408) 688-4737 |
| NPI Number | 1780443598 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 8123555893 |
|---|---|
| Medicare Enrollment ID | O20241218003769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780443598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gregory Braverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790998979 PECOS PAC ID: 1557325404 Enrollment ID: I20050908000993 |
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