Individual
DR. MICHAEL BRANCACCIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT, WASHINGTON, DC 20017-2180
(202) 269-7242
Mailing address
PO BOX 70688, WASHINGTON, DC 20024-0688
(410) 872-9188
(410) 872-9169
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0019338
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD6145
DC
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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