Individual
CAROLINA FAVERO BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 MAIN ST STE 1, DICKSON CTY, PA 18447-1345
(570) 550-0870
Mailing address
1550 MAIN ST STE 1, DICKSON CTY, PA 18447-1345
(570) 550-0870
(570) 550-0869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD470836
PA
208M00000X
Hospitalist Physician
Primary
MD470836
PA
Other
Enumeration date
03/27/2017
Last updated
07/25/2024
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