Individual
JESSICA BRACAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16 PERSONETTE ST, CALDWELL, NJ 07006-5113
(862) 926-8478
Mailing address
14 WASHINGTON AVE, WEST CALDWELL, NJ 07006-7704
(862) 926-8478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
01/27/2022
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