Walter W Bratchenko, PA
Physician Assistant, Surgical in Newark, New Jersey
1659581031- Practice location
- 90 Bergen St, Newark, NJ 07103-2425
- Phone
- 973-972-0763
- Fax
- —
- Last updated
- July 8, 2007
Walter William Bratchenko is a Physician Assistant, Surgical based in Newark, NJ. Walter William Bratchenko practices in Newark, NJ and has the professional credentials of PA. The NPI Number for Walter William Bratchenko is 1659581031 and holds a License No. 25MP00060300 (NJ). The current practice location address for Walter William Bratchenko is 90 Bergen St, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-0763.
Provider Profile Details
- NPI Number
- 1659581031
- Provider Name
- Walter William Bratchenko
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Bergen St, Newark, NJ 07103-2425
- Phone Number
- 973-972-0763
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-0763
Provider Business Mailing Address Details
- Address
- 90 Franklin Street
Cedar Grove, NJ 07009 - City
- Cedar Grove
- State
- NJ
- Zip
- 07009
License Information
- License Number
- 25MP00060300
- License State
- NJ
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Walter W Bratchenko, PA?
The NPI number of Walter W Bratchenko, PA is 1659581031. It was assigned on May 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Walter W Bratchenko, PA?
Walter W Bratchenko, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00060300.
Where does Walter W Bratchenko, PA practice?
The practice location is 90 Bergen St, Newark, NJ 07103-2425. The office can be reached at 973-972-0763 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659581031 directly on the NPPES registry website.