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NPI Code Detail

MEDICARE: DR. JUDITH ANN BRANCHE MD

MEDICARE: DR. JUDITH ANN BRANCHE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0401XAddiction Medicine (Internal Medicine) Physician172241NY
2207R00000XInternal Medicine Physician172241NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245452374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH ANN BRANCHE MD
Provider Business Mailing Address
First Line : 2570 ROUTE 9W
Second Line : SUITE 10
City : CORNWALL
State : NY
Zip : 12518-1323
Country : US
Telephone Number : 845-220-3100
Fax Number : 845-534-2940
Provider Business Practice Location Address
First Line : 3 COMMERCIAL PL
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5306
Country : US
Telephone Number : 845-220-2146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 08/19/2021

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