MEDICARE: ZHANNA BRANOVAN 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
1	207R00000X	Internal Medicine Physician	69612	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1881657328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHANNA BRANOVAN MD

Provider Business Mailing Address
First Line	:	1680 ROUTE 23 STE 310
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-7520
Country	:	US
Telephone Number	:	973-831-9222
Fax Number	:	973-831-1460

Provider Business Practice Location Address
First Line	:	1680 ROUTE 23 STE 310
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-7520
Country	:	US
Telephone Number	:	973-831-9222
Fax Number	:	973-831-1460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	12/05/2018

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Directions to “ ZHANNA BRANOVAN MD” Practice Location

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