Individual
LORRAINE J BRANCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD FICS LLC
Contact information
Practice address
ONE WEST RIDGEWOOD AVE, STE 204, PARAMUS, NJ 07652-2359
(201) 493-0102
(201) 493-1230
Mailing address
ONE WEST RIDGEWOOD AVE, STE204, PARAMUS, NJ 07652-2359
(201) 493-0102
(201) 493-1230
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA04721800
NJ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
25MA04721800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217603
—
NJ
Enumeration date
05/25/2006
Last updated
07/09/2017
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