Provider / Organization | NPI | Date Certified |
---|---|---|
SARA BRANCO | 1215494661 | 2024-01-06 |
Sara Branco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215494661. Registration indicates Sara Branco is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Sara Branco PA-C |
Practice Office Address | 185 ROSEBERRY ST PHILLIPSBURG, NJ US |
Practice Office Telephone | 9088470514 |
Mailing Address | 208 HOGAN CT ASBURY, NJ 088021197 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |
A400215186 | OTHER | NY | MEDICARE APS |
25MP00508200 | OTHER | NJ STATE LICENS | |
022911 | OTHER | NY | NYS LICENSE |