Organization
BRACHA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEV FISHMAN (ADMINISTRATOR)
(908) 354-0002
Entity
Organization
Contact information
Practice address
1048 GROVE ST, ELIZABETH, NJ 07202
(908) 354-0002
(908) 354-0033
Mailing address
1048 GROVE ST, ELIZABETH, NJ 07202
(908) 354-0002
(908) 354-0033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
62007X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4504607
—
NJ
Enumeration date
08/09/2006
Last updated
12/09/2009
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