Individual
NICHOLAS JOHN BRANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009490
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2023
Last updated
08/15/2024
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