| Branford Medical Center | |
|
23 Branford Pl Newark NJ 07102-2711 | |
| (973) 424-0080 | |
| (973) 424-0088 |
| Full Name | Branford Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Branford Pl, Newark, New Jersey |
| Authorized Official Name and Position | Zhanna Kanevsky (VP) |
| Authorized Official Contact | 9734240080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branford Medical Center 23 Branford Pl Newark NJ 07102-2711 Ph: (973) 424-0080 | Branford Medical Center 23 Branford Pl Newark NJ 07102-2711 Ph: (973) 424-0080 |
| NPI Number | 1811271208 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811271208 | NPI | - | NPPES |
| 0049441 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07783800 (New Jersey) | Primary |
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