Individual
SARA BRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
(908) 847-0514
Mailing address
208 HOGAN CT, ASBURY, NJ 08802-1197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022911
NYS LICENSE
NY
01
—
25MP00508200
NJ STATE LICENSE
—
01
—
A400215186
MEDICARE APS
NY
Enumeration date
02/21/2019
Last updated
01/06/2024
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