Individual
MICHAEL ANTHONY BRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)(CT)(MR)
Contact information
Practice address
340 WELLSLEE DR, CHAMBERSBURG, PA 17201-8289
(717) 658-1567
Mailing address
340 WELLSLEE DR, CHAMBERSBURG, PA 17201-8289
(717) 658-1567
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
279352
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZAR106153945001
HIGHMARK BLUE CROSS
PA
Enumeration date
05/03/2019
Last updated
05/03/2019
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