Basic Information
Provider Information
NPI: 1770774127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRAUN
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 117 FORREST AVE STE 101
Address2:  
City: NARBERTH
State: PA
PostalCode: 190722365
CountryCode: US
TelephoneNumber: 6106673823
FaxNumber: 2157074086
Practice Location
Address1: 117 FORREST AVE STE 101
Address2:  
City: NARBERTH
State: PA
PostalCode: 190722365
CountryCode: US
TelephoneNumber: 6106773823
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/09/2007
LastUpdateDate: 04/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804XMD 045421-EPAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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