Individual
DR. IVY NICOL BRANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
505 HAMILTON AVE, SUITE 103, LINWOOD, NJ 08221
(646) 470-8458
Mailing address
313 SHORE RD, LINWOOD, NJ 08221-2510
(732) 642-2158
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0990080970
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990080970
NATUROPATHIC PHYSICIAN LICENSE
VT
Enumeration date
10/25/2011
Last updated
10/25/2011
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