Provider Demographics
NPI:1093890204
Name:HOWARD BRAUER MD
Entity type:Organization
Organization Name:HOWARD BRAUER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BRAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-238-5880
Mailing Address - Street 1:7 BRUNSWICK WOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5601
Mailing Address - Country:US
Mailing Address - Phone:732-238-5880
Mailing Address - Fax:732-238-5328
Practice Address - Street 1:7 BRUNSWICK WOODS DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5601
Practice Address - Country:US
Practice Address - Phone:732-238-5880
Practice Address - Fax:732-238-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03619800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1912607Medicaid
NJ1912607Medicaid
BR478979Medicare ID - Type Unspecified