Individual
ANTHONY BRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 BEAUVOIR AVE # 3533, SUMMIT, NJ 07901-3533
(908) 522-2232
Mailing address
PO BOX 265, 30 E SOMERSET ST, RARITAN, NJ 08869-9998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10654000
NJ
Other
Enumeration date
04/06/2016
Last updated
08/18/2020
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