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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRAXTON LUCERO

Active

BRAXTON LUCERO is a Physician Assistant healthcare provider located in BELLEVILLE, New Jersey. NPI 1629633797 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BELLEVILLE, NJ

Registration Details

NPI Number
1629633797
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2019 (7.2352558639011 yrs)
Last Updated
Aug 20, 2019
License
25MP00534400 (NJ)

Practice Information

Address
1 CLARA MAASS DR
BELLEVILLE, NJ, 071093550
Browse NJ providers · Browse ZIP 07109
Phone
9734502000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BELLEVILLE, NJ

Name Credential NPI
CLAUDE KRAUSE PA 1396768529
MARY BENTIVEGNA PA 1326061524
RICHARD GRABOWSKI PA 1457469439
ALEKSEY IKHELSON PA 1770652968
OLGA KOSOY PA-C 1275749814
FARRAH S WEISFELD 1396945895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.