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1659581031
WALTER WILLIAM BRATCHENKO
NEWARK, NJ
NPI
1659581031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NJ 25MP00060300)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- WALTER WILLIAM BRATCHENKO PA
90 BERGEN ST
NEWARK, NJ 07103-2425
Phone number: 973-972-0763
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Mailing Address
-- WALTER WILLIAM BRATCHENKO PA
90 FRANKLIN STREET
CEDAR GROVE, NJ 07009
Phone number:
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