Brathwaite, Coryse V

Brathwaite, Coryse V is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brathwaite, Coryse V can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax: (443) 481-6933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D46239 Maryland

Profile Details

NPI number 1881641116
LBN Legal business name Brathwaite, Coryse V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881641116 NPPES
Other 5769117 AETNA PPO
MEDICAID 590811600 AETNA PPO
Other 250AAA53270803 AETNA PPO
Other 55880010 AETNA PPO
Other 116546 AETNA PPO
Other 6801338 AETNA PPO

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