Provider Demographics
NPI:1811313513
Name:BRAWER, SETH A (PA-C)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:A
Last Name:BRAWER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 QUINSIGAMOND AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1867
Mailing Address - Country:US
Mailing Address - Phone:508-755-1123
Mailing Address - Fax:508-755-5640
Practice Address - Street 1:59 QUINSIGAMOND AVE
Practice Address - Street 2:WORCESTER COUNTY ORTHOPEDICS
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1867
Practice Address - Country:US
Practice Address - Phone:508-755-1123
Practice Address - Fax:508-755-5640
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4927363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical