Individual
ANISSA BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534
(609) 537-7277
(609) 537-6002
Mailing address
2 CAPITAL WAY STE 456, PENNINGTON, NJ 08534-2521
(609) 537-7277
(609) 537-6002
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00149200
NJ
Other
Enumeration date
06/19/2008
Last updated
09/11/2025
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