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Anthony Branco

Emergency Medicine in Summit, NJ. Individual provider (NPI-1).

NPI number1770947699
StatusActive
Last updated in NPPESAug 18, 2020

Details

NPI
1770947699
Entity type
Individual (NPI-1)
Name
Anthony Branco
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2016
Certification date
Aug 18, 2020
Last updated
Aug 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine25MA10654000NJYes

Practice location

99 Beauvoir Ave # 3533
Summit, NJ 07901-3533

Phone 908-522-2232

Mailing address

Po Box 265
30 E Somerset St
Raritan, NJ 08869-9998

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